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Please complete this form to register your product.

This warranty application form applies to products purchased from an Authorized Dealer(s) in Malaysia only. For Singapore, refer to Music Lodge
+(65) 6293 9886, 6762 6378.

Please note that the warranty does not cover instruments that have been purchased from an unauthorized dealer.

All information in this form is treated with discrete. We at Wagner Piano Sdn Bhd respects our customers' privacy.

All entries are required

Customer Information
Name :  
New NRIC :  
Address :
City :
State / Country :  
Zip Code :
Phone :
Email :
Product Information
Brand :  
Others:
Model :
Serial Number :
Purchase Date :
Reference Number :
Dealer :
How did you hear about this brand? : Others:

What influenced your decision? :

How would you rate the
quality of this instrument?
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