Cut along dotted line and mail to:
UltraComfort, 401 Bridge Street, Old Forge, PA 18518
CUSTOMER INFORMATION
FIRST NAME
ADDRESS
ADDRESS 2
CITY
EMAIL ADDRESS
PRODUCT MODEL NUMBER
Numbers and letters beginning with UC and
separated by dashes
PRODUCT SERIAL NUMBER
Located on the hand control wire, on the
metal frame and in this manual
PURCHASE DATE
SAVE TIME!
Register your product online.
Visit ultracomfort.com
or scan this QR code!
Comfort That's Patented
PRODUCT REGISTRATION
LAST NAME
STATE
ZIP
PRODUCT INFORMATION
www.ultracomfort.com
AMERICA
™
RETAILER INFORMATION
RETAILER NAME
RETAILER ADDRESS
ADDRESS 2
CITY
STATE
ZIP
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NEW RECLINER?
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