GXPS-500 Digital X-ray Phosphor Plate System Registration

 

To help us support and service your new GXPS-500 quickly and efficiently, please fill out the following form to register your new GXPS-500 Phosphor Plates. If you have any questions on your new GXPS-500, please contact Gendex Technical Support at 1-800-769-2909. Fields identified with an * are mandatory.

Product Information

List all your product serial numbers below. The serial number follows the SN mark on the label located on the rear of the GXPS-500.

GXPS-500
Serial Number(s)*
 
Installation Date*
   
Dealer Name*
 

Practice Information
Dental Practice Name*
 
Address*
 
Address
City*
 
State / Province*
 
ZIP Code*
 
Country*
 
Phone*
 
Fax*
 
Email Address*
 

Other Office Informations
Imaging Software
Operating System
(i.e. Windows 7)
Practice Management Software
Office Specialty

Comments
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* required information

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Gendex Dental Systems
1910 North Penn Road
Hatfield, PA 19440

Phone: 1-800-323-8029
Fax: 847-550-1322
Tech Dept Fax: 847-718-0716