My Information

First Name *

Last Name *

Email Address *

Mobile Number *

Postcode *

Product Information

Product Type *

Retailer Purchased From *

Model Number *

It appears you are trying to register a LASER TV, if so please select 'LASER TV' under 'Product Type' and complete all necessary fields. Failing to do so will result in a void registration and screen redemption.

Model Number *

Upload a copy of your receipt *

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I would like to redeem my 100L5F Screen *

I would like to have my 100L5F Screen installed (available at additional cost) *

100L5F Screen Delivery

Delivery Address *

100L5F Screen Installation

Does your installation address differ from your delivery address?

Installation Address *

Once confirmed, a Hisense representative will be in touch to organise installation of your Laser TV.

Any Additional Comments

100L5F Installation Assessment

Are there any issues with property access that need to be addressed? (Any stairs, narrow halls, lifts or parking restrictions etc.) *

Box Dimensions are: 2381mm x 526mm x 156mm (L*D*H).

Please Detail Access Issues *

Do you have a cabinet for the Laser TV console? *

It is the customer's responsibility to provide a cabinet for the console. The recommended measurements are 50cm high * 50cm deep and at least 70cm wide.

Is your wall area tall and wide enough for the screen? Minimum width wall area for screen 320cm wide * 210cm high *

BY SUBMITTING THIS FORM I AGREE TO THE TERMS AND CONDITIONS, INSTALLATION REQUIREMENTS AND ACKNOWLEDGE THAT ALL INFORMATION PROVIDED IS CORRECT *

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Price

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Vendor Name

Vendor Address

Description

Vendor Trading Name