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If you have any questions about about your LiftSeat product, please contact us or your LiftSeat authorized dealer.
LiftSeat Customer Service
1-877-NOLIFT1
support@liftseat.com
Product Registration
To ensure proper warranty coverage, please register your LiftSeat™ 300 product.
Name
*
Address
*
City State/Province
*
Zip/Postal Code
*
Email
*
Phone No.
*
LiftSeat™ Model No.
*
Serial No.
*
Purchased From
*
Date of Purchase
*
Method of purchase: (check all that apply)
*
Medicare
Insurance
Medicaid
Other
This product was purchased for use by: (check one)
*
Self
Parent
Spouse
Other
Product was purchased for use at:
*
Home
Facility
Other
I purchased a LiftSeat product because of:
Benefits
Features
Price
Other
Who referred you to LiftSeat™ products? (check all that apply)
*
Doctor
Therapist
Friend
Relative
Dealer/Provider
Other
Advertisement (select one):
TV
Radio
Magazine
Newspaper
No Referral
What additional features, if any, would you like to see on this product?
Would you like information sent to you about other LiftSeat™ products that may be available for a particular medical condition?
Yes
No
If yes, please list any condition(s) here and we will send you information by email and/or mail about any available LiftSeat™ products that may help treat, care for or manage such condition(s):
Would you like to receive updated information via email or regular mail about the LiftSeat™ home medical products sold by LiftSeat™ Dealers?
Yes
No
What additional information would you like to see on the LiftSeat™ Web site?
Would you be willing to participate in future online surveys for LiftSeat™ products?
Yes
No
User's Age:
Under 50
50 65
65 75
75+
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