Lift Chair | Registration

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Product Information
Chair Collection*
Date Purchased*
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Serial Number*
Product Model Number*
Retailer Information
Retailer Name*
If you purchased this product online, list the website
Retailer Address
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Buyer Information
All information submitted will be kept strictly confidential. We will never share your information with anyone. This information will be used in the event that there is a product change about which we need to notify you as the owner of a product.
Full Name*
First Last
Address
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Email*
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Tell us what you like about your UltraComfort recliner
Optional Customer Information
Birthdate
Date Format: MM slash DD slash YYYY
Age
Weight
Height
Physical Limitations
Hobbies & Activities
Agreement
I have read the owner's manual that accompanies this product and fully understand:
Check all that apply:*
- Product Warranty Information
- Safety
- Operation
- Care & Maintenance
- Adjustments for Operator Comfort
- Batteries & Battery Charging
- The function of Freewheel Levels
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