Master Massage Products
Warranty Registration Form

Congratulations on your purchase of Master Massage Product! Please fill out our Warranty Registration Form and return using one of the following methods:

1. E-mail: Fill out our interactive form using the input fields below and click on the "Submit" button.

2. Fax: Print form, fill out and fax to 847-675-2794

3. Mail: Print form, fill out and mail to:
Warranty Services Agency
7520 N. St. Louis Avenue
Skokie, IL 60076

* Please note required fields. Your warranty registration will not be activated unless required fields are filled in.

Name * Date

Address *

City * State * ZIP * Country

Phone E-mail *

found on ID under table

Master Massage Model Name Model no (5 digits number) *

Production date 12 digit UPC no

Where was your product purchased? *

Purchase date * Price paid (not including tax) *

Did you purchase this for personal use in your home? YesNo

Are you a health professional, therapist or student therapist? YesNo

What is the specific nature of your practice or study?

Comments

I do not wish to be notified via e-mail of any promotions, sales and coupons

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