Register your Product

Company
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Product Information
Date Purchased (required)*
MM slash DD slash YYYY
Serial Number (required)*
Choose Your Product Model Number (required)*
The model number of your chair can be found on the inside cover of the owner’s manual or on the hand control wire.
Retailer Information
Retailer Name (required)*
If you purchased this product online, list the website
Retailer Address
Street Address City State / Province / Region ZIP / Postal Code Country
Buyer Information
All information submitted will be kept strictly confidential. We will never share your information with anyone. This information will be used in the event that there is a product change about which we need to notify you as the owner of a product.
Full Name (required)*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email (required)*
Phone
How did you hear about UltraComfort America?*
Agreement
I have read the owner’s manual that accompanies this product and fully understand:
I fully understand the following: (required)*
- Product Warranty Information
- Safety
- Operation
- Care & Maintenance
- Adjustments for Operator Comfort
- Batteries & Battery Charging
- The function of Freewheel Levels
Optional Customer Information
Birthdate
MM slash DD slash YYYY
Age
Weight
Height
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Product Information