Register Your Product

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Please fill out the following form to register your warranty with Fabrictech International and press
the "Submit" button when complete.

Customer Information

Salution

*First Name

*Last Name

*Address 1

Address 2

*City

*State

Zip

*Primary phone(000 000-0000)

Secondary phone(000 000-0000)

*Email

Fabrictech Product Information

*Product Name

*Size

*Date of Purchase(mm/dd/yyyy)

Retail Price
$

Primary Reason for purchase of the product

Store Name

Store Location(City, State) *Note: If Purchased online, please use website address

If Purchased With A New Mattress at a Retailer,
Please Input the Information Below

Mattress Manufacturer

Mattress Model Name

Invoice Number

Mattress Retail Price

Customer Comments

Fields marked with an * are mandatory.

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