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Product
Registration Form

The product registration form is required for equipment registration and tracking per US FDA regulations. The form will only be used to comply with FDA regulation purposes, and for Rayence’s WRAP program registration.

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https://www.fda.gov/medical-devices/postmarket-requirements-devices/quality-system-qs-regulationmedical-device-good-manufacturing-practices

Product 
Registration

All fields are required unless otherwise specified*

Dealer Information

End-User Information

Thank you for submitting!

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