!

!!Warranty Coverage Request

This form should be completed when the date of purchase of the product is different from the Estimated Purchase Date shown in GSX and customer requests an update. Service Provider should complete this form and attach the sales receipt of the products original retail purchase.

Product Information
Serial Number Product Description
C17H7595DV13

!MBP 13.3/2.4/2X2GB/500-5400/SD/GLSY!

Original Sales Information

Product Purchase Date: Year (YYYY) Reseller Name
OneClick 2012

Month (MM) 07

Day (DD) 26

Phone number Street Address City/State Postal Code Country Email Address (if available)

4116 2233 Honduras 5225 buenos aires 1414 Argentina ventas@oneclick.com.ar

Was the product purchased as an Open Box or Demo unit? Was the product purchased from an Auction site? AppleCare Protection Plan Purchase Date Year (YYYY) AppleCare Protection Plan Agreement/ Registration number Additional Comments: Yes

Yes

No

No

Month (MM)

Day (DD)

The customers statutory warranty rights are the same whether or not the purchase date is validated. Apple will protect personal information in accordance with the Apples Customer Privacy Policy available at www.apple.com/legal/privacy.
Version 1.1 | May 2013