PRODUCT REGISTRATION FORM
Register ONLINE at www.invacare.com - or -
Name _______________________________________________________________
Address _____________________________________________________________
City ___________________ State/Province __________
Zip/Postal Code ________
Email ___________________________________ Phone No. _________________
Invacare Model No. ______________________ Serial No. __________________
Purchased From _________________________ Date of Purchase: ___________
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If at any time you wish not to receive future mailings from us, please contact us at Invacare Corporation,
CRM Department, 39400 Taylor Parkway, Elyria, OH 44035, or fax to 877-619-7996 and we will remove
you from our mailing list.
To find more information about our products, visit www.invacare.com.
Complete and mail this form
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Fold
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Fold
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