WARRANTY REGISTRATION (Buki edit)

Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Phone Number *

E-mail *

Confirmation Email

Massage Chair *

Serial Number *

Name of Sales Representative

Purchased from:

Date of Purchase

Month Day Year Date Picker Icon

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 Labor Additional 2 Years Labor Additional 3 Years Labor Additional 1 Year Parts Additional 2 Years Parts

Please attach proof of extended warranty purchase.

ATTACH FILE