WARRANTY REGISTRATION (Buki edit)

Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
E-mail*

Confirmation Email
Massage Chair*
Serial Number*
Name of Sales Representative
Purchased from:
Date of Purchase

MonthDayYear
Warranty Agreement
If an extended warranty price was waived as a promotion at the point of sale, please attach a copy of the original sales invoice. If there is no proof of an extended warranty purchase, or a copy of the invoice is not attached to this form, the warranty request will not be processed.
Special Warranty Offer:

Additional 1 Year LaborAdditional 2 Years LaborAdditional 3 Years LaborAdditional 1 Year PartsAdditional 2 Years Parts
Please attach proof of extended warranty purchase.

ATTACH FILE

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