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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 *
  1. Method of purchase: (check all that apply) *
    Medicare   Insurance   Medicaid   Other
  2. This product was purchased for use by: (check one) *
    Self   Parent   Spouse   Other
  3. Product was purchased for use at: *
    Home   Facility   Other
  4. I purchased a LiftSeat product because of:
    Benefits   Features   Price   Other
  5. 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
  6. What additional features, if any, would you like to see on this product?
  7. 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):
  8. Would you like to receive updated information via email or regular mail about the LiftSeat™ home medical products sold by LiftSeat™ Dealers?
    Yes   No
  9. What additional information would you like to see on the LiftSeat™ Web site?
  10. Would you be willing to participate in future online surveys for LiftSeat™ products?
    Yes   No
  11. User's Age:
    Under 50   50 — 65   65 — 75   75+
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