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<title>Extended Warranty | Olympus Imaging Singapore</title>
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<script type="text/javascript" src="../inc/js/jsClientUtils.js"></script>
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<script type="text/javascript" src="../inc/js/jsForm.js"></script>
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    //if (iEXWCameraCategoryID == 3)
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      if (!TextValidation(thisform,"EXWCameraModel","Product Model",0,50,true)) { return; }
    //}
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    if (!TextValidation(thisform,"EXWStreetName", "Street Name",3,100,true)) { return; }
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    if (!DropdownValidation(thisform,"EXWAnnualIncomeID","Annual Income")) { return; }
    if (!DropdownValidation(thisform,"EXWEmploymentType","Employment Type")) { return; }
    if (!DropdownValidation(thisform,"EXWIndustryBusinessTypeID","Industry/Business Type")) { return; }

    if (!CheckBoxValidation(thisform,"tnc","Yes, I have agreed with the terms and conditions as stated.")) { return; }

    if (!confirm("You have agreed to the terms and conditions as stated, and would be submiting the form now.\nPlease click on Yes to proceed, or Cancel to modify your particulars again.")){
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  {
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    {
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        displayCustomization_EXWAdditionalInformation('none');
        //oSpan.innerHTML = 'Camera Model';
        oSpan.innerHTML = 'For example: Mju1070, Mju TOUGH8000, SP-590UZ, FE-360';
        clearEXWAdditionalInformationObjs();
        break;
      case '2':
        displayCustomization_EXWAdditionalInformation('block');
        //oSpan.innerHTML = 'Camera Model';
        oSpan.innerHTML = 'For example: E-3, E-30, E-620, E-P1, E-P2, E-PL1';
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        break;
      case '3':
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        //oSpan.innerHTML = 'Voice Record Model';
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        break;
      case '4':
        displayCustomization_EXWAdditionalInformation('block');
        //oSpan.innerHTML = 'Voice Record Model';
        oSpan.innerHTML = 'For example: ED 7-14mm F4.0, ED 150mm F2.0, 11-22mm F2.8-3.5, 35mm F3.5 Macro';
        clearEXWAdditionalInformationObjs();
        break;        
      default:
        displayCustomization_EXWAdditionalInformation('none');
        //oSpan.innerHTML = 'Camera Model';
        oSpan.innerHTML = '';
        clearEXWAdditionalInformationObjs();
        break;
    }
  }
  
  function displayCustomization_EXWAdditionalInformation(sdisplay) {
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      var EXWAdditionalInformationObjs = document.getElementsByName('EXWStandardLens');
      for (var i=0;i<EXWAdditionalInformationObjs.length;i++) {
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      for (var i=0;i<EXWAdditionalInformationObjs.length;i++) {
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      for (var i=0;i<EXWAdditionalInformationObjs.length;i++) {
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        EXWAdditionalInformationObjs[i].checked = false;
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  }
  
//-->
</script>
<!-- InstanceEndEditable -->
</head>

<body class="thrColFix">
<!-- Header -->
<div id="Header">
<div id="HeaderArea">
<h1><a href="http://www.olympusimage.com.sg/"><img src="/image/logo_olympus.gif" alt="OLYMPUS Your Vision, Our Future" width="316" height="58" /></a></h1>
<div id="headerItemArea">
<ul id="headerNavList">
  <li><a href="http://www.olympusimage.com.sg/about/">About Us</a></li>
  <li><a href="/press/">Press Centre</a></li>
  <li><a href="http://www.olympus-global.com/en/global/">Global Site</a></li>
  <li id="headerRegion"><a href="http://www.olympus.com.sg/">Olympus Singapore</a></li></ul>
</div>
</div>
<div id="gNavArea">
<p><img src="/image/imaging_singapore.gif" alt="IMAGING SINGAPORE" width="140" height="30" /></p>
<ul id="gNav">
<li><a href="http://www.olympusimage.com.sg/">Home</a></li>
<li><a href="http://www.olympusimage.com.sg/products/">Products</a>
  <ul>
  <li><a href="http://www.olympusimage.com.sg/products/compact/">Compact Digital Cameras</a></li>
  <li><a href="http://www.olympusimage.com.sg/products/dslr/">Digital SLR Cameras</a></li>
  <li><a href="http://www.olympusimage.com.sg/products/voice_recorders/">Voice Recorders</a></li>
  <li><a href="http://www.olympusimage.com.sg/products/accessories/">Accessories</a></li>
  <li class="lastItem"><a href="http://www.olympusimage.com.sg/products/awards/">Awards</a></li>
  </ul>
</li>
<li !class="active"><a href="/photogallery/">Photo Gallery</a></li>
<li><a href="/eventsnpromos/">Event &amp; Promotions</a></li>
<li><a href="http://www.olympusimage.com.sg/cs/">Customer Support</a>
  <ul>
  <li><a href="http://www.olympusimage.com.sg/cs/notices/">Notices</a></li>
  <li><a href="http://www.olympus.co.jp/en/support/imsg/" target="_blank">Software Download</a></li>
  <li><a href="http://www.olympus.co.jp/en/support/imsg/" target="_blank">Product Manuals</a></li>
  <li class="lastItem"><a href="http://home.olympusimage.com.sg/workshop/">Workshop Registration</a></li>
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<li><a href="/contactus/">Contact Us</a>
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  <li class="lastItem"><a href="/contactus/">Authorised Retailers</a>
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</div>
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<ul>
  <li><a href="http://www.olympusimage.com.sg/">Home</a> &gt; <a href="/extwarranty/">Extended Warranty</a> &gt; </li>
</ul>
<!-- InstanceEndEditable --></div>
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<div id="Container">
<div id="leftnav"><!-- InstanceBeginEditable name="leftnav" --><img src="../img/extwarranty/leftnav.jpg" width="140" height="528" border="0" />
<!-- InstanceEndEditable -->
  <!-- end #leftnav --></div>
<div id="exMainContent"><!-- InstanceBeginEditable name="mainContent" -->
<form method="post" action="/extwarranty/registration.asp" name="reg_form" !onsubmit="return checkform(this);">
<table class="tblmain" cellspacing="0" cellpadding="0" border="0">
  <tr>
    <td><span class="pageheader">Extended Warranty Registration</span></td>
  </tr>
  <tr>
    <td>
      <table class="tblcontent" border="0" cellpadding="7" cellspacing="7">
          <tr>
            <td>
              <style>
div.scroll1 {
//width: 423px;
width: 570px;
height: 100px;
overflow: auto;
/*scrollbar-face-color: #000000;*/
/*scrollbar-highlight-color: #999999;*/
/*scrollbar-shadow-color: #000000;*/
/*scrollbar-3dlight-color: #000000;*/
scrollbar-arrow-color: #ffffff;
scrollbar-track-color: #999999;
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}

.bgcolor1 {height:10px; }

</style>
<table class="tblexsubcontent" border="0" cellspacing="0">
  <tr>
    <td>
      <table cellspacing="0" width="100%" align="center" border="0">
        <tr>
          <td valign="top">&nbsp;</td>
          <td valign="top">
            <table width="100%" border="0">
              <tr>
                <td><table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
                      <tr>
                        <td>
                          To enjoy extended warranty, kindly proceed on to fill up your particulars.
                          <!--<br />You might be our lucky winner of<br />
                          1) A Trip to Shanghai, China to witness an Once-In-A-Lifetime Total Solar Eclipse experience taking place on 22<sup>nd</sup> July 2009 <em>(exclusively for Digital SLR camera Category)</em> or<br />
                          2) Receive 100% Cashback on the products you purchase in our 2-months special draw for our 3 products category<br />
                          <span class="smalltxt">(Digital SLR Camera, Digital Compact Camera & Voice Recorder Category)</span>-->
                        </td>
                      </tr>
                    </table></td>
              </tr>
              <!--<tr><td class="bgcolor1">&nbsp;</td></tr>-->
              <tr>
                <td><table width="100%" border="0" cellspacing="0" cellpadding="10">
                  <tr>
                    <td>
                      <table width="100%" border="0" cellspacing="0" cellpadding="0">
                        <tr>
                          <div class="bluefont">PRODUCT</div>
                        </tr>
                        <tr><td class="bgcolor1">&nbsp;</td></tr>
                        <tr>
                          <td>
                            <span class="mandatory">*</span> <strong>Product Category:</strong><br />
                               <select name="EXWCameraCategoryID" onchange="dropdown_EXWAdditionalInformation_OnChange(this.value)">
                               <option value="">Please Select</option>
                               <option value="1">Digital Compact</option><option value="2">Digital SLR</option><option value="3">Voice Recorder</option><option value="4">Zuiko Digital Lenses</option>
                            </select>
                          </td>
                        </tr>
                        <tr><td class="bgcolor1">&nbsp;</td></tr>
                        <tr>
                          <td>
                            <span class="mandatory">*</span> <strong>
                            Product Model:</strong><br />
                            <input type="text" name="EXWCameraModel" size="30" maxlength="50" class="textstyle" />
                            &nbsp;<span id='cameramodeltext'>&nbsp;</span>
                          </td>
                        </tr>
                        <tr><td class="bgcolor1">&nbsp;</td></tr>
                        <tr>
                          <td>
                            <span class="mandatory">*</span> <strong>
                            Product Serial Number:</strong><br />
                            <input type="text" name="EXWSerialNumber" size="10" maxlength="10" class="textstyle" />
                          </td>
                        </tr>
                        <tr><td class="bgcolor1">&nbsp;</td></tr>
                        <tr>
                          <td>
                            <span class="mandatory">*</span> <strong>Date Of Purchase:</strong>
                            <div id="EXWDateOfPurchaseFocus"></div>
                            <input type='text' name='EXWDateofPurchase' id='EXWDateofPurchase' class='textstyle' value='' size='12' onfocus='this.blur()' onclick='if(self.gfPop)gfPop.fPopCalendar(document.reg_form.EXWDateofPurchase, [[2009,06,03],[2070,03,01],[null],[null],[null]]);return false;' HIDEFOCUS readonly><a href='javascript:void(0)' onclick='if(self.gfPop)gfPop.fPopCalendar(document.reg_form.EXWDateofPurchase,[[2009,06,03],[2070,03,01],[null],[null],[null]]);return false;' HIDEFOCUS><img class='PopcalTrigger' align='absmiddle' src='DateRange4/calbtn.gif' width='34' height='22' border='0' alt=''></a>
                          </td>
                        </tr>
                      </table>
                    </td>
                  </tr>
                  </table>
                </td>
              </tr>
              <tr>
                <td class="bgcolor1">&nbsp;</td>
              </tr>
              <tr>
                <td class="bgcolor1"><div class="divider">&nbsp;</div></td>
              </tr>
              <tr>
                <td>
                  <span style="display: none;" id="EXWAdditionalInformationDisplay">
                    <table width="100%" border="0" align="center" cellpadding="2" cellspacing="0">
                      <tr>
                        <td class="bgcolor1">
                          <table width="100%" border="0" align="center" cellpadding="2" cellspacing="0">
                            <tr>
                              <td><p class="bluefont">ADDITIONAL INFORMATION</p>
                                  <p><span class="bluefont">ZUIKO DIGITAL-LENS:</span><br>Please tick the boxes below if you have other lenses that you use for your Olympus Digital SLR</p></td>
                            </tr>
                          </table>
                          <p class="header6"><b>STANDARD LENS</b></p>
                          <table width="70%" border="0" cellspacing="0" cellpadding="2">
                            <tr>
                              <td width="5%">&nbsp;</td>
                              <td class="header7">MODEL</td>
                              <td class="header7">SPECIFICATIONS</td>
                              <td>&nbsp;</td>
                            </tr>
                            
<tr>
  <td><input type='checkbox' name='EXWStandardLens' value='1' /></td>
  <td>ED 14-42mm</td>
 <td>F3.5-5.6</td><td>Standard Zoom</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWStandardLens' value='2' /></td>
  <td>ED 70-300mm</td>
 <td>F4.0-5.6</td><td>&nbsp;</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWStandardLens' value='3' /></td>
  <td>ED 18-180mm</td>
 <td>F3.5-6.3</td><td>Super Zoom (10X)</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWStandardLens' value='4' /></td>
  <td>ED 35mm</td>
 <td>F3.0</td><td>Macro Lens</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWStandardLens' value='5' /></td>
  <td>ED 40-150mm</td>
 <td>F4.0-5.6</td><td>Telephoto Zoom</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWStandardLens' value='6' /></td>
  <td>ED 9-18mm</td>
 <td>F4.0-5.6</td><td>Wide Angle</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWStandardLens' value='7' /></td>
  <td>14-42mm</td>
 <td>F3.5-5.6</td><td>Micro Four Thirds</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWStandardLens' value='8' /></td>
  <td>17mm</td>
 <td>F2.8</td><td>Micro Four Thirds</td>
</tr>
                          </table>
                          <p class="header6"><b>PRO LENS</b></p>
                          <table width="70%" border="0" cellspacing="0" cellpadding="2">
                            <tr>
                              <td width="5%">&nbsp;</td>
                              <td class="header7">MODEL</td>
                              <td class="header7">SPECIFICATIONS</td>
                              <td>&nbsp;</td>
                            </tr>
                            
<tr>
  <td><input type='checkbox' name='EXWProLens' value='1' /></td>
  <td>ED 8mm</td>
 <td>F3.5</td><td>Fisheye Lens</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWProLens' value='2' /></td>
  <td>ED 11-22mm</td>
 <td>F2.8-3.5</td><td>Wide Zoom</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWProLens' value='3' /></td>
  <td>ED 14-54mm</td>
 <td>F2.8-3.5</td><td>Standard Zoom</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWProLens' value='4' /></td>
  <td>ED 50mm</td>
 <td>2.0</td><td>Macro Lens</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWProLens' value='5' /></td>
  <td>ED 50-200mm</td>
 <td>F2.8-3.5</td><td>Telephoto Zoom</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWProLens' value='6' /></td>
  <td>ED 12-60mm</td>
 <td>SWD f2.8-4.0</td><td>High Quality</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWProLens' value='7' /></td>
  <td>ED 12-60mm</td>
 <td>F2.8-4.0</td><td>Wide Zoom</td>
</tr>
                          </table>
                          <p class="header6"><b>TOP PRO LENS</b></p>
                          <table width="70%" border="0" cellspacing="0" cellpadding="2">
                            <tr>
                              <td width="5%">&nbsp;</td>
                              <td class="header7">MODEL</td>
                              <td class="header7">SPECIFICATIONS</td>
                              <td>&nbsp;</td>
                            </tr>
                            
<tr>
  <td><input type='checkbox' name='EXWTopProLens' value='1' /></td>
  <td>ED 7-14mm</td>
 <td>F4.0</td><td>Wide Zoom</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWTopProLens' value='2' /></td>
  <td>Fix Focal Lens</td>
 <td>F2.0</td><td>Telephoto Zoom</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWTopProLens' value='3' /></td>
  <td>ED 90-250mm</td>
 <td>F2.8</td><td>Telephoto Zoom</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWTopProLens' value='4' /></td>
  <td>ED 150mm</td>
 <td>F2.0</td><td>Fix Focal Lens</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWTopProLens' value='5' /></td>
  <td>ED 300mm</td>
 <td>F2.8</td><td>Fix Focal Lens</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWTopProLens' value='6' /></td>
  <td>ED 14-35mmSWD</td>
 <td>F2.0</td><td>High Quality</td>
</tr>
                          </table>
                          <p class="header6"><b>ACCESSORIES</b></p>
                          <table width="70%" border="0" cellspacing="0" cellpadding="2">
                            <tr>
                              <td width="5%">&nbsp;</td>
                              <td class="header7">MODEL</td>
                            </tr>
                            
<tr>
  <td><input type='checkbox' name='EXWAccessories' value='1' /></td>
  <td>FL-20</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWAccessories' value='2' /></td>
  <td>FL-36</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWAccessories' value='3' /></td>
  <td>FL-50</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWAccessories' value='4' /></td>
  <td>FL-36R</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWAccessories' value='5' /></td>
  <td>FL-50R</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWAccessories' value='6' /></td>
  <td>RF-11</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWAccessories' value='7' /></td>
  <td>TF-22</td>
</tr>
<tr>
  <td><input type='checkbox' name='EXWAccessories' value='8' /></td>
  <td>FL-14</td>
</tr>
                          </table>
                        </td>
                      </tr>
                      <tr>
                        <td class="bgcolor1">&nbsp;</td>
                      </tr>
                      <tr>
                        <td class="bgcolor1"><div class="divider">&nbsp;</div></td>
                      </tr>
                    </table>
                  </span>
                </td>
              </tr>
              <tr>
                <td class="bgcolor1"><table width="100%" border="0" cellspacing="0" cellpadding="10">
                  <tr>
                    <td valign="top"><span class="bluefont">PROFILE</span></td>
                    <td valign="top">&nbsp;</td>
                  </tr>
                  <tr>
                    <td width="50%" valign="top"><span class="mandatory">*</span> <strong>Name as in NRIC/FIN:</strong><br />
                      <input type="text" name="EXWName" class="textstyle" size="30" maxlength="100">
                      <p><span class="mandatory">*</span> <strong>NRIC/FIN:</strong><br />
                         <input type="text" name="EXWNric" class="textstyle" size="30" maxlength="9">
                         <br />
                         </p>
                         <p><span class="mandatory">*</span> <strong>Nationality:</strong><br />
                           <select name="EXWNationalityID">
                           <option value="1">Singaporean</option><option value="2">PR</option><option value="3">Others</option>
                           </select>
                         </p>
                    </td>
                    <td valign="top"><p><span class="mandatory">*</span> <strong>Date of Birth:</strong><br />
                              <select name="d_MeDateOfBirth">
                              </select>
                              <select name="m_MeDateOfBirth" onChange = populate2(reg_form)>
                              <option value='1'>January</option>
<option value='2'>February</option>
<option value='3'>March</option>
<option value='4'>April</option>
<option value='5'>May</option>
<option value='6'>June</option>
<option value='7'>July</option>
<option value='8'>August</option>
<option value='9'>September</option>
<option value='10'>October</option>
<option value='11'>November</option>
<option value='12'>December</option>

                              </select>
                              <select name="y_MeDateOfBirth"></select>
                      <!--
                      <select name="EXWDOB_d">
                        <option value="" selected="selected">Day</option>
                        <option value='1'>1</option>
<option value='2'>2</option>
<option value='3'>3</option>
<option value='4'>4</option>
<option value='5'>5</option>
<option value='6'>6</option>
<option value='7'>7</option>
<option value='8'>8</option>
<option value='9'>9</option>
<option value='10'>10</option>
<option value='11'>11</option>
<option value='12'>12</option>
<option value='13'>13</option>
<option value='14'>14</option>
<option value='15'>15</option>
<option value='16'>16</option>
<option value='17'>17</option>
<option value='18'>18</option>
<option value='19'>19</option>
<option value='20'>20</option>
<option value='21'>21</option>
<option value='22'>22</option>
<option value='23'>23</option>
<option value='24'>24</option>
<option value='25'>25</option>
<option value='26'>26</option>
<option value='27'>27</option>
<option value='28'>28</option>
<option value='29'>29</option>
<option value='30'>30</option>
<option value='31'>31</option>

                      </select>
                      <select name="EXWDOB_m">
                        <option value="" selected="selected">Month</option>
                        <option value='1'>January</option>
<option value='2'>February</option>
<option value='3'>March</option>
<option value='4'>April</option>
<option value='5'>May</option>
<option value='6'>June</option>
<option value='7'>July</option>
<option value='8'>August</option>
<option value='9'>September</option>
<option value='10'>October</option>
<option value='11'>November</option>
<option value='12'>December</option>

                      </select>
                      <select name="EXWDOB_y">
                        <option value="" selected="selected">Year</option>
                        <option value='1900'>1900</option>
<option value='1901'>1901</option>
<option value='1902'>1902</option>
<option value='1903'>1903</option>
<option value='1904'>1904</option>
<option value='1905'>1905</option>
<option value='1906'>1906</option>
<option value='1907'>1907</option>
<option value='1908'>1908</option>
<option value='1909'>1909</option>
<option value='1910'>1910</option>
<option value='1911'>1911</option>
<option value='1912'>1912</option>
<option value='1913'>1913</option>
<option value='1914'>1914</option>
<option value='1915'>1915</option>
<option value='1916'>1916</option>
<option value='1917'>1917</option>
<option value='1918'>1918</option>
<option value='1919'>1919</option>
<option value='1920'>1920</option>
<option value='1921'>1921</option>
<option value='1922'>1922</option>
<option value='1923'>1923</option>
<option value='1924'>1924</option>
<option value='1925'>1925</option>
<option value='1926'>1926</option>
<option value='1927'>1927</option>
<option value='1928'>1928</option>
<option value='1929'>1929</option>
<option value='1930'>1930</option>
<option value='1931'>1931</option>
<option value='1932'>1932</option>
<option value='1933'>1933</option>
<option value='1934'>1934</option>
<option value='1935'>1935</option>
<option value='1936'>1936</option>
<option value='1937'>1937</option>
<option value='1938'>1938</option>
<option value='1939'>1939</option>
<option value='1940'>1940</option>
<option value='1941'>1941</option>
<option value='1942'>1942</option>
<option value='1943'>1943</option>
<option value='1944'>1944</option>
<option value='1945'>1945</option>
<option value='1946'>1946</option>
<option value='1947'>1947</option>
<option value='1948'>1948</option>
<option value='1949'>1949</option>
<option value='1950'>1950</option>
<option value='1951'>1951</option>
<option value='1952'>1952</option>
<option value='1953'>1953</option>
<option value='1954'>1954</option>
<option value='1955'>1955</option>
<option value='1956'>1956</option>
<option value='1957'>1957</option>
<option value='1958'>1958</option>
<option value='1959'>1959</option>
<option value='1960'>1960</option>
<option value='1961'>1961</option>
<option value='1962'>1962</option>
<option value='1963'>1963</option>
<option value='1964'>1964</option>
<option value='1965'>1965</option>
<option value='1966'>1966</option>
<option value='1967'>1967</option>
<option value='1968'>1968</option>
<option value='1969'>1969</option>
<option value='1970'>1970</option>
<option value='1971'>1971</option>
<option value='1972'>1972</option>
<option value='1973'>1973</option>
<option value='1974'>1974</option>
<option value='1975'>1975</option>
<option value='1976'>1976</option>
<option value='1977'>1977</option>
<option value='1978'>1978</option>
<option value='1979'>1979</option>
<option value='1980'>1980</option>
<option value='1981'>1981</option>
<option value='1982'>1982</option>
<option value='1983'>1983</option>
<option value='1984'>1984</option>
<option value='1985'>1985</option>
<option value='1986'>1986</option>
<option value='1987'>1987</option>
<option value='1988'>1988</option>
<option value='1989'>1989</option>
<option value='1990'>1990</option>
<option value='1991'>1991</option>
<option value='1992'>1992</option>
<option value='1993'>1993</option>
<option value='1994'>1994</option>

                      </select>
                      -->
                      </p>
                      <p><span class="mandatory">*</span> <strong>Marital Status:</strong><br />
                         <select name="EXWMaritalStatusID">
                         <option value="1">Single</option><option value="2">Married</option>
                         </select>
                      </p>
                      <p><span class="mandatory">*</span> <strong>Gender:</strong><br />
                         <INPUT TYPE='RADIO' ID='EXWGenderID' NAME='EXWGenderID' VALUE='1'> Male
<INPUT TYPE='RADIO' ID='EXWGenderID' NAME='EXWGenderID' VALUE='2'> Female
</p></td>
                  </tr>
                </table></td>
              </tr>
              <tr>
                <td class="bgcolor1">&nbsp;</td>
              </tr>
              <tr>
                <td class="bgcolor1"><div class="divider">&nbsp;</div></td>
              </tr>
              <tr>
                <td class="bgcolor1"><table width="100%" border="0" cellspacing="0" cellpadding="10">
                  <tr>
                    <td valign="top"><span class="bluefont">CONTACT</span></td>
                    <td valign="top">&nbsp;</td>
                  </tr>
                  <tr>
                    <td width="50%" valign="top"><span class="mandatory">*</span> <strong>Contact No:</strong><br />
                      (Please enter either Mobile or Home No)<br><br>
                      <input type="text" name="EXWTelHP" size="25" maxlength="8" class="textstyle" />
                      [Mobile] <br />
                      <input type="text" name="EXWTelHome" size="25" maxlength="8" class="textstyle" />
                      [Home]
                      <p><span class="mandatory">*</span> <strong>Email:</strong><br />
                         <input type="text" name="EXWEmail" size="25" maxlength="100" class="textstyle" /></p></td>
                    <td valign="top"><span class="mandatory">*</span> <strong>Mailing Address:</strong><br />
                      <textarea name="EXWStreetName" rows="3" cols="25" class="textstyle"></textarea>
                      <br />
                      Postal Code
                      <input type="text" name="EXWPostalCode" size="6" maxlength="6" class="textstyle" />
                  </tr>
                </table></td>
              </tr>
              <tr>
                <td class="bgcolor1">&nbsp;</td>
              </tr>
              <tr>
                <td class="bgcolor1"><div class="divider">&nbsp;</div></td>
              </tr>
              <tr>
                <td class="bgcolor1"><table width="100%" border="0" cellspacing="0" cellpadding="10">
                  <tr>
                    <td valign="top"><span class="bluefont">CAREER</span></td>
                    <td valign="top">&nbsp;</td>
                  </tr>
                  <tr>
                    <td width="50%" valign="top"><span class="mandatory">*</span> <strong>Occupation:</strong><br />
                        <input type="text" name="EXWOccupation" size="25" maxlength="50" class="textstyle" />
                        <p><span class="mandatory">*</span> <strong>Annual Income:</strong><br />
                          <select name="EXWAnnualIncomeID">
                            <option selected="selected"></option>
                            <option value="1">Below $20,000</option><option value="2">$20,000-$29,999</option><option value="3">$30,000-$39,999</option><option value="4">$40,000-$49,999</option><option value="5">$50,000-$59,999</option><option value="6">$60,000-$69,999</option><option value="7">$70,000-$79,999</option><option value="8">$80,000-$89,999</option><option value="9">$90,000-$99,999</option><option value="10">$100,000 or above</option><option value="11">Not Applicable</option>
                          </select>
                        </p>
                        <p><span class="mandatory">*</span> <strong>Employment Type:</strong><br />
                          <select name="EXWEmploymentType">
                            <option selected="selected"></option>
                            <option value="1">Employee</option><option value="2">Self Employed</option><option value="3">Others</option>
                          </select>
                        </p></td>
                    <td valign="top"><p><span class="mandatory">*</span> <strong>Industry/Business Type:</strong><br />
                      <select name="EXWIndustryBusinessTypeID">
                        <option selected="selected"></option>
                        <option value="1">Architecture</option><option value="2">Building/Construction</option><option value="3">Engineering</option><option value="4">Banking and Finance</option><option value="5">IT and Telecommunication</option><option value="6">Professional</option><option value="7">Research and Development</option><option value="8">Science</option><option value="9">Biotechnology</option><option value="10">Petrochemicals</option><option value="11">Government and Public services</option><option value="12">Education</option><option value="13">Health Care</option><option value="14">Hospital</option><option value="15">Logistics</option><option value="16">Inventory</option><option value="17">Manufacturing / Production</option><option value="18">Media / Art / Fashion</option><option value="19">Shopping / Transport</option><option value="20">Wholesales</option><option value="21">Entertainment / Recreation</option><option value="22">Hotels and Restaurants</option><option value="23">Insurance</option><option value="24">Personal General Services</option><option value="25">Property Management / Real Estate</option><option value="26">Retail</option><option value="27">Tourism</option><option value="28">Travel Related</option><option value="29">Administrative</option><option value="30">Internet Related</option><option value="31">No Occupation</option><option value="32">Trading</option><option value="33">Marketing</option>
                      </select>
                    </p></td>
                  </tr>
                </table></td>
              </tr>
              <tr>
                <td class="bgcolor1">
                  <table width="100%" border="0" cellspacing="0" cellpadding="10">
                   <tr>
                     <td>
                       <table width="95%" border="0" align="center" cellpadding="10" cellspacing="0" class="evenrow">
                         <tr>
                           <td>
                             <div class="scroll1"><table width="90%" border="0" cellspacing="0" cellpadding="0">
                               <tr>
                                 <td><p><u><strong>WARRANTY INFORMATION</strong> </u></p>
                                   <ol>
                                     <li> <strong>Worldwide Warranty</strong> <br />
                                       (a)  Digital Compact Camera <br />
                                       (b)  Digital SLR<br />
                                       (c)  Zuiko Digital Lenses <br />
                                       <br />
                                     </li>
                                     <li> <strong>Local Warranty</strong> <br />
                                       (a)  Digital Voice Recorders <br />
                                       <br />
                                     </li>
                                     <li> <strong>Local Extended Warranty</strong>  <br />
                                       (a)  Digital Compact Camera<br />
                                       (b)  Digital SLR <br />
                                       (c)  Zuiko Digital Lenses<br />
                                       (d)  Digital Voice Recorders </li>
                                   </ol>
                                   <p><strong><u>WORLDWIDE WARRANTY</u>  <br />
                                     Provisions of warranty </strong></p>
                                   <ol>
                                     <li> If this product proves to be defective, although it has been used properly (in accordance with the written Handling Care and Operation instructions supplied with it), during a period of up to one year from the date of purchase this product will be repaired, or at Olympus&rsquo;s option replaced, free of charge.  To claim under warranty the customer must take the product and this Warranty certificate before the end of the one year warranty period to the dealer where the product was purchased or any Olympus authorized service station listed in the instructions and request the necessary repairs.  </li>
                                     <li> The customer shall transport the product to the dealer or Olympus authorized service station at his own risk and shall be responsible for any costs incurred in transporting the product. </li>
                                     <li> This warranty does not cover the following and the customer will be required to pay repair charge, even for defects occurring within the one year period referred to above.
                                       <ol>
                                         <li type="a">  Any defect that occurs due to mishandling (such as an operation performed that is not mentioned in the Handling Care or other sections of the instructions, etc.) </li>
                                         <li type="a">  Any defect that occurs due to repair, modification, cleaning, etc. performed by anyone other than Olympus or an Olympus authorized service station. </li>
                                         <li type="a">  Any defect or damage that occurs due to transport, a fall, shock, etc. after purchase of the product.  </li>
                                         <li type="a">  Any defect or damage that occurs due to fire, earthquake, flood damage, thunderbolt, other natural disasters, environmental pollution and irregular voltage sources.  </li>
                                         <li type="a">  Any defect that occurs due to careless or improper storage (such as keeping the product under conditions of high temperature and humidity, near insect repellents such as naphthalene or harmful drugs, etc.), improper maintenance, etc.  </li>
                                         <li type="a">  Any defect that occurs due to exhausted batteries, etc.  </li>
                                         <li type="a">  Any defect that occurs due to sand, mud, etc. entering the inside of the product casing. </li>
                                         <li type="a">  When this Warranty Certificate is not returned with the product.  </li>
                                         <li type="a">  When any alterations whatsoever are made to the Warranty Certificate regarding the year, month and date of purchase, the customer&rsquo;s name, the dealer&rsquo;s name, and the serial number.  </li>
                                         <li type="a">  When proof of purchase is not presented with this Warranty Certificate. </li>
                                       </ol>
                                     </li>
                                     <li> This Warranty applies to the product only; the Warranty does not apply to any other accessory equipment, such as the case, strap, lens cap and batteries.  </li>
                                     <li> Olympus&rsquo; sole liability under this warranty shall be limited to repairing or replacing the product and any liability for indirect or consequential loss or damage of any kind incurred or suffered by the customer due to a defect in the product, and in particular any loss or damage caused to any film or lenses or other equipment or accessories used with the product or for any loss resulting from delay in repair, is excluded. </li>
                                   </ol>
                                   <p><em>Notes;   </em></p>
                                   <ol>
                                     <li> This Warranty is in addition to and does not affect the customer&rsquo;s statutory right. </li>
                                     <li> If you have any queries regarding this Warranty, call any of the Olympus authorized service stations listed in the instructions. </li>
                                   </ol>
                                   <p><strong>Notes regarding warranty maintenance </strong></p>
                                   <ol>
                                     <li> This Warranty will only be valid if the Warranty Certificate is duly completed by Olympus or the dealer. Make sure that your name, the name of the dealer, the serial number and the year, month and date of purchase are all completed.  </li>
                                     <li> Since this Warranty Certificate will not be re-issued, keep it in a safe place. </li>
                                     <li> Any request for repair by a customer in same country where the product was purchased shall be subject to the terms of the warranty issued by the Olympus distributor in that country. Where the local Olympus distributor does not issue a separate warranty or where the customer is not in the country where the product was purchased the terms of this worldwide warranty shall apply. </li>
                                     <li> Where applicable, this Warranty is valid worldwide. The Olympus authorized service stations listed in this Warranty will gladly honor it. *Please refer to the appended list for the authorized international Olympus service network. </li>
                                   </ol>
                                   <p><strong>Disclaimer of Warranty</strong> <br />
                                     Olympus makes no representations or warranties, either expressed or implied, by or concerning any content if these written materials or software, and in no event shall be liable for any implied warranty of merchantability or fitness for any particular purpose or for any consequential, incidental or indirect damages (including but not limited to damages for loss of business profits, business interruption and loss of business information) arising from the use of inability to use these written materials or software. Some states do not allow the exclusion or limitation of liability for consequential or incidental damages, so the above limitations may not apply to you. </p>
                                   <p><strong><u>LOCAL WARRANTY</u> <br />
                                     Provisions of warranty </strong></p>
                                   <ol>
                                     <li>1. This warranty is issued by OLMYPUS IMAGING SINGAPORE PTE. LTD. If this product proves to be defective, although it has been used properly (in accordance with the written Handling Card and Operating instructions Supplied with it), during a period of up to one year from date of purchase this product will be repaired, or at Olympus&rsquo;s sole option replaced, free of charge. To claim under this warranty the customer must take the product and this Warranty certificate before the end of the one year warranty period to the dealer where the product was purchase or the Olympus service station in Singapore.  </li>
                                     <li>2. The customer shall transport the product to the dealer or the Olympus authorized service station at his own risk and shall be responsible for any costs incurred in transporting the product.  </li>
                                     <li>3. This warranty does not cover the following and the customer will be required to pay repair charge, even for defects occurring within one year period referred to above.
                                       <ol>
                                         <li type="a">  Any defect that occurs due to mishandling (such as an operation performed not mentioned in the Handling Care or other sections of the Instructions, etc.) </li>
                                         <li type="a">  Any defect that occurs due the repair, modification cleaning, etc. performed by anyone other than the Olympus service station. </li>
                                         <li type="a">  Any defect or damage that occurs due to transport, a fall, shock, etc. after purchase of the product. </li>
                                         <li type="a">  Any defect or damage that occurs due to fire, earthquake, flood damage, thunderbolt, other natural disasters, environmental pollution and irregular voltage sources. </li>
                                         <li type="a">  Any defect that occurs due to carelessness or improper storage (such as keep the product under conditions of high temperature and humidity, near insect repellents such as naphthalene or harmful drugs, etc.) </li>
                                         <li type="a">  Any defect that occurs due to exhausted batteries, etc. </li>
                                         <li type="a">  Any defect that occurs due to sand, mud, liquid, etc. entering the inside of the product casing. </li>
                                         <li type="a">  When this Warranty Certificate is not returned with the product. </li>
                                         <li type="a">  When any alternations whatsoever are made to Warranty Certificate regarding the year, month and date of purchase, the customer&rsquo;s name, the dealer&rsquo;s name, and the serial number. </li>
                                         <li type="a">  When proof of purchase is not presented with this Warranty Certificate. </li>
                                       </ol>
                                     </li>
                                     <li>4. This warranty applies to the product only; the Warranty does not apply to any other accessory equipment, such as software, strap and batteries, etc.</li>
                                     <li> 5.  Olympus&rsquo;s sole liability under this warranty shall be limited to repairing or replacing the product and any liability for incidental or consequential loss or damage of any kind incurred or suffered by the customer due to a defect in the product, and in particular any loss or damage caused to or other equipment or accessories used with the product or for any loss resulting from a delay in repair, is excluded. </li>
                                   </ol>
                                   <p><em>Notes:  </em></p>
                                   <ol>
                                     <li>This warranty is in addition to and does not affect the customer&rsquo;s statutory right. </li>
                                   </ol>
                                   <p><strong>Notes regarding warranty maintenance  </strong></p>
                                   <ol>
                                     <li> This Warranty will only be valid if the Warranty certificate is duly completed by Olympus or the Dealer authorized by Olympus in Singapore.  Make sure that your name, the name of the dealer, the serial number and the year, month and date of purchase are all completed. </li>
                                     <li> Since this Warranty Certificate will not be re-issued, keep it in a safe place. </li>
                                   </ol>
                                   <p><strong>Disclaimer of Warranty</strong> <br />
                                     Olympus makes no representations or warranties, either expressed or implied, by or concerning any content if these written materials, and in no event shall be liable for any implied warranty of merchantability or fitness for any particular purpose or for any consequential, incidental or indirect damages (including but not limited to damages for loss of business profits, business interruption and loss of business information) arising from the use of inability use these written materials or software. Some states do not allow the exclusion or limitations of liability for consequential or incidental damages, so the above limitations may not apply to you. </p>
                                   <p><strong><u>LOCAL EXTENDED WARRANTY</u>   <br />
                                     Provisions of warranty </strong></p>
                                   <ol>
                                     <li> This warranty is issued by OLMYPUS IMAGING SINGAPORE PTE. LTD. If this product proves to be defective, although it has been used properly (in accordance with the written Handling Card and Operating instructions Supplied with it), during a period of up to one year three months from date of purchase this product will be repaired, or at Olympus&rsquo;s sole option replaced, free of charge. To claim under this warranty the customer must take the product and this Warranty certificate before the end of the one year three months warranty period to the dealer where the product was purchase or the Olympus service station in Singapore.  </li>
                                     <li> The customer shall transport the product to the dealer or the Olympus authorized service station at his own risk and shall be responsible for any costs incurred in transporting the product.  </li>
                                     <li> This warranty does not cover the following and the customer will be required to pay repair charge, even for defects occurring within one year three months period referred to above.
                                       <ol>
                                         <li type="a">  Any defect that occurs due to mishandling (such as an operation performed not mentioned in the Handling Care or other sections of the Instructions, etc.) </li>
                                         <li type="a">  Any defect that occurs due the repair, modification cleaning, etc. performed by anyone other than the Olympus service station. </li>
                                         <li type="a">  Any defect or damage that occurs due to transport, a fall, shock, etc. after purchase of the product. </li>
                                         <li type="a">  Any defect or damage that occurs due to fire, earthquake, flood damage, thunderbolt, other natural disasters, environmental pollution and irregular voltage sources. </li>
                                         <li type="a">  Any defect that occurs due to carelessness or improper storage (such as keep the product under conditions of high temperature and humidity, near insect repellents such as naphthalene or harmful drugs, etc.) </li>
                                         <li type="a">  Any defect that occurs due to exhausted batteries, etc. </li>
                                         <li type="a">  Any defect that occurs due to sand, mud, liquid, etc. entering the inside of the product casing. </li>
                                         <li type="a">  When this Warranty Certificate is not returned with the product. </li>
                                         <li type="a">  When any alternations whatsoever are made to Warranty Certificate regarding the year, month and date of purchase, the customer&rsquo;s name, the dealer&rsquo;s name, and the serial number.</li>
                                         <li type="a">  When proof of purchase is not presented with this Warranty Certificate. </li>
                                       </ol>
                                     </li>
                                     <li> This warranty is only applicable upon online registration for the extended local three months warranty at http://www.olympus.com.sg/  </li>
                                     <li> Both original purchase receipt and warranty card must be presented upon claiming your extended warranty service.  </li>
                                     <li> The local extended warranty will only be effective from 3 June 2009 onwards, and for purchases made from 3 June 2009 onwards. </li>
                                     <li> This warranty applies to the product only; the Warranty does not apply to any other accessory equipment, such as software, strap and batteries, etc.  </li>
                                     <li> Olympus&rsquo;s sole liability under this warranty shall be limited to repairing or replacing the product and any liability for incidental or consequential loss or damage of any kind incurred or suffered by the customer due to a defect in the product, and in particular any loss or damage caused to or other equipment or accessories used with the product or for any loss resulting from a delay in repair, is excluded. </li>
                                   </ol>
                                   <p><em>Notes:   </em></p>
                                   <ol>
                                     <li>This warranty is in addition to and does not affect the customer&rsquo;s statutory right. </li>
                                   </ol>
                                   <p><strong>Notes regarding warranty maintenance  </strong></p>
                                   <ol>
                                     <li> This Warranty will only be valid if the Warranty certificate is duly completed by Olympus or the Dealer authorized by Olympus in Singapore.  Make sure that your name, the name of the dealer, the serial number and the year, month and date of purchase are all completed. </li>
                                     <li> Since this Warranty Certificate will not be re-issued, keep it in a safe place. </li>
                                   </ol>
                                   <p><strong>Disclaimer of Warranty </strong><br />
                                     Olympus makes no representations or warranties, either expressed or implied, by or concerning any content if these written materials, and in no event shall be liable for any implied warranty of merchantability or fitness for any particular purpose or for any consequential, incidental or indirect damages (including but not limited to damages for loss of business profits, business interruption and loss of business information) arising from the use of inability use these written materials or software. Some states do not allow the exclusion or limitations of liability for consequential or incidental damages, so the above limitations may not apply to you. </p>
                                   <p>&nbsp;</p></td>
                               </tr>
                             </table></div>
                             </td>
                         </tr>
                       </table>
                       <p>
                         <input type="checkbox" name="tnc" value="1" />
                        Yes, I have agreed with the terms and conditions as stated.</p>
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