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Fill Out Your Warranty
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Fill Out Your Warranty
Complete this information within 30 days of purchase.
Date of Purchase:
(Format: MM/DD/YYYY - 02/14/2007)
(Required)
Model Number:
Please select your model
DL930 (US version)
DL930CA (CDN version)
DL930EU (European version)
DL930UK (UK version)
(Required)
Serial Number:
(on paper warranty card)
(Required)
First Name:
(Required)
Last Name:
(Required)
Street Address:
(Required)
City:
(Required)
Province / State:
(Required)
Postal Code / Zip:
(Required)
Tel:
(Required)
E-mail:
Would you like to receive information on new and exciting products from Day-Light in the future?
Yes - please send me information
VENDOR INFORMATION
Where did you purchase your Day-Light?
Choose your vendor
Drug Store or Pharmacy
Home Health Care & Equipment Store
Department or Other Retail Store
Internet
Catalog
Other
Where did you hear about this product?
Choose your source
Doctor
Psychiatrist
Pharmacist
Other Health Professional
Was it a gift?
Yes it was a gift
What do you like about your Day-Light?
Additional Comments? (i.e. ideas for other products etc...)
Thank you for taking the time to complete the information above.
NOTE: we do not make our customer information available to other vendors.
Home
Product
Where to Buy
Fill Out Your Warranty
Bright Light Therapy
Light Therapy News
Treatment Benefits
Self Assessment
Why the Day-Light is Better
Consumers
Providers
Doctors
© 2007 Uplift Technologies