warranty registration
First Name *
Last Name *
E-mail *
Phone *
Address *
City *
Country *
State / Province *
Zip/Postal Code *
Product *
Date of Purchase * DD    MM   YY
Place of Purchase
Enter referrer information to win a FREE Gift **

F.Name of Referrer
L.Name of Referrer
E-mail of Referrer
TEL # of Referrer
Type the characters you see in the picture below.
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Note:

* All fields marked with * are mandatory.

** Both you and your referrer will be entered in our FREE monthly Draw for the month you register to win a FREE Gift, if you enter the name and telephone number of your referrer.
Your referrer must be an existing customer who has already completed warranty registration at www.BodyRyzm.com or www.BackVitalizer.com


Official rules:
  1. Purchases through any special promotion program are not eligible for the draw.
  2. Only one entry is accepted per household and per product model.
  3. Winning prizes do not bear any cash value.
  4. Valid to customers residing in the USA, Canada and European countries only.
  5. Winners will be notified by eMail or telephone.
  6. The odds of being drawn as a winner depend on the number of eligible entries received for the month of the draw.
  7. If the selected winner does not respond within the time frame stated in the notification email, Perspectis, Inc. will draw another winner from all entries received during the entry period.
Congratulations to you for joining the family of the proud owners of unique BodyRyzm products. Your business is sincerely appreciated. Please filling in the following form to register for your warranty privilege.