Warranty Registration
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| First Name * |
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| Last Name * |
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| Email * |
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| Phone * |
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| Address * |
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| City * |
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| Country * |
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| State/Province * |
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| Zip/Postal Code * |
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| Product Model * |
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| Date of Purchase * |
Day
Month
Year
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| Place of Purchase * |
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Enter referrer information to win a FREE Gift**
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| F. Name of Referrer ** |
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| L. Name of Referrer ** |
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| Email of Referrer ** |
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| TEL # of Referrer ** |
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Note:
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All fields marked with * are mandatory.
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**
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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
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Official rules:
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- Purchases through any special promotion program are not eligible for the draw.
- Only one entry is accepted per household and per product model.
- Winning prizes do not bear any cash value.
- Valid to customers residing in North America only.
- Winners will be notified by eMail or telephone.
- The odds of being drawn as a winner depend on the number of eligible entries received for the month of the draw.
- 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.
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