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Registration
Name: ___________________________________________________________________________________ Phone: ___________________________________________________________________________
Address: ____________________________________________________________________________________________________________________________________________________________________________
City: ______________________________________________________________________________________ State: _____________________________ Zip code ______________________________
Email address: ____________________________________________________________________________________________________________________________________________________________________
Store where purchased: ________________________________________________________________________________________________________________________________________________________
Serial no: _____________________________________________ Invoice no: ________________________________________ Model no: _____________________________________________
Survey
Gender:
nn
M
nn
F
Age:
nn
18-30
nn
31-40
nn
41-50
nn
51-60
nn
61-70
nn
71 & up
Reason for purchasing an adjustable bed:
nn
Health
nn
Comfort
nn
Other
How did you find out about our beds?
nn
Advertising
nn
A friend
nn
Store
nn
Article
nn
Internet
nn
Other
Please mail to:
Rize Customer Care Center
31050 Diamond Parkway
Solon, OH 44139
Warranty
Registration
Form
You can also register your bed
online at www.rizebeds.com.
Customer Care Center Phone #
1-800-444-8444