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Please fill out our Product Registration Form below to get a Product Registration ID within 30 days from purchase.
(All bolded fields are required)
Palm Massager Product Registration Form
Contact Information:
First Name Last Name
Year Of Birth (4 digit year)
Email Address
Company Name
Address Line 1
Address Line 2
City State Zip
Phone Number
Date Of Purchase
Place Of Purchase (Provide store name or location)
Purchase Price
How Did You Hear About Us?
Additional Notes
A Product Registration ID will be emailed to you within 24 hours after you click on the 'Submit' button.
