Please note this form is ONLY for Starter Kits.
If you would like to register a Warranty Card for other items please click here.

The fields with a red ( * ) are required

  Title :
  First name : *
  Last name : *
  Address :*
  Apartment:
  City:*
  Shire / County :*
  Zip :*
  Country : * UK
  Telephone: *
  Email : *
  Starter Kit Art. No. : *
  How did you obtain
this Starter Kit? *
If other specify: 

  Name of store where item was purchased :
  Location of store (city) :
  Location of store (shire / county) :
  My household includes (please check off one or more):
         Aquarium(s)   Please specify: Freshwater   Saltwater   Planted
         Bird(s)   Please specify:
         Cat(s)    
         Dog(s)    
         Ferret(s)    
         Gerbil(s)    
         Hamster(s)    
         Pond(s)    
         Rabbit(s)    
         Reptile(s)   Please specify:
            Other   Please specify:
 
  Occasionally Hagen will be releasing product and other information.
Would you like to be updated on : new product releases   
                                                              press release    
  If Yes, what is your language of preference? *