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Please Register Your Warranty
Please complete this information within 30 days of purchase date. Fields marked with an * are required.
Purchase Date: (MM/DD/YYYY) (*)
Please select Date of Purchase
Model (*)
Please select your model
Day-Light Classic (DL930 US version)
Day-Light Classic (DL930CA CDN version)
Day-Light Classic (DL930EU European version)
Day-Light Classic (DL930UK UK version)
Day-Light Sky (DL2000 US version)
Day-Light Sky (DL2000 CDN version)
Uplift Premium Power Seat - PS3017 – US
Uplift Premium Power Seat - PS3020 – US
Uplift Premium Power Seat - PS3017CA
Uplift Premium Power Seat - PS3020CA
Risedale Lifting Seat Chair – RD02
StumpRest – SR##
Risewell Lifting Seat Chair – RW01
Uplift Power Seat – PS1000
Uplift Seat Assist – MEDUL100
Uplift Seat Assist – MEDUL300
UPEASY Power Seat – UPEP100
UPEASY Seat Assist – UPE1
UPEAST Seat Assist – UPE3
Uplift Commode Assist – CA200
Please select your model
Serial Number: (on warranty card) (*)
Please enter your serial number.
First Name (*)
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Last Name (*)
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Street Address (*)
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City (*)
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Province / State (*)
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US States
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Canadian Provinces
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Postal Code / Zip (*)
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Telephone with Area Code (*)
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E-mail (*)
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Would you like to receive product information from Uplift in the future?
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VENDOR INFORMATION
Where did you purchase your Uplift product?
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Home Health Care and Equipment Store
Department or Other Retail Store
Internet
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Where did you hear about this product?
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Doctor
Psychiatrist
Pharmacist
Physiotherapist/Occupational Therapist
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Was it a gift?
Yes it was a gift
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What do you like about your Uplift product?
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Additional Comments? (i.e. ideas for other products etc...)
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On a scale of 1 to 10, one being not at all likely, and ten being extremely likely, would you recommend our products to a friend or family member? (*)
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Please select On a scale of 1 to 10, one being not at all likely, and ten being extremely likely, would you recommend our products to a friend or family member?
Thank you for taking the time to complete the information above. NOTE: we do not make our customer information available to other vendors.
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