BOGO Free UC-PD1 Promo

Thank you for your purchase! We are excited to offer you a free UC-PD1 portable charger. By applying for this program, you agree to the terms and conditions. See terms and conditions at the end of this form.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Dealer (Purchased from)*
Products
Purchased product(s): (Applicable products: DUO-C98P, DUO-C150P, DUO-C198P, ZEN-C98G, ZEN-C150G)
Product #1*
Product #1 - Serial number*
Product #2
Product #2 - Serial number
Product #3
Product #3 - Serial number
Product #4
Product #4 - Serial number
Product #5
Product #5 - Serial number
Terms and Conditions
By submitting this form, you agree to and understand the terms and conditions of the ‘BOGO Free UC-PD1 Promotion’. This program is only available to end-users within the fifty United States and Canada. Applications from dealers will not be accepted. IDX System Technology, Inc. (“IDX”) does not guarantee availability of the UC-PD1 requested by the participants as this program is a first come first serve basis. IDX reserves the right to amend the rules after the promotion origination or cancel this promotion without prior notice. All submitted information becomes property of IDX.
Proof of Purchase*
Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
Phone
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