Coverplus Activation Form
DEALER INFORMATION
Welcome to Coverplus Activation website!
As a Coverplus dealer, we require your support to provide the necessary end user and product information to activate the Coverplus.
Kindly note that all the fields in this form is mandatory.
Should you require any clarifications with regards to the form, kindly write in to our Coverplus Team at emsb_coverplus@emsb.epson.com.my
Dealer Company Name
Name of person who fill up this form
Office Contact No.
Company Email Address (a copy of the Coverplus E-Certificate will be sent to this email address)
COVERPLUS E-CERTIFICATE DETAILS
EMSB Temporary Certificate Ref No.
(Please refer to the Temporary E-Cert issued by Epson Malaysia. Dealer would have received a copy of the contract from Epson Appointed Distributors.)
Click here for the sample of the Temp E-Certificate.
END USER INFORMATION
Kindly ensure all information provided is accurate for timely activation of Coverplus
Company Name
Company Address
Postcode
Contact Person (Person in charge for support related matters)
Official Contact No.
Company Email Address (a copy of the Coverplus E-Certificate will be sent to this email address)
EPSON PRODUCT DETAILS
Please click to download the
spreadsheet template and update
the product information required for Coverplus Activation.
Upon completion, please upload the file here :-
Submit
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