Please complete this Product Registration Form within 30 days of original purchase in order to validate time of purchase for warranty.
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Customer Name *
Address *
City *
State *
Abbreviate State: NY
Zip Code *
Phone Number *
XXX-XXX-XXXX
Email Address *
Date of Purchase *
01-01-10
Retailer Purchased from *
Products Purchased *
Products Color
Black
Blue
Red
Yellow
Green
Brown
Pink
Gray
Zebra
Natural
Other
Main color
Model Number of Products Purchased *
Found on the cover of the Instruction Manual
Overall, how would you rate the quality of our product? *
Would you recommend our product to family and friends?
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How did you hear about us? *
How are you trying to contact us today?
Additional Comments
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