Registration Card; Product Information - ROHO QUADTRO SELECT Manual Del Usuario

Name
Street No.
City, State
Zip & Country
Area Code & Telephone (
Email Address
User's Age? 18 and under

PRODUCT INFORMATION

Purchased From
Date Purchased
Is this your first ROHO cushion? Yes
Serial Number of cushion
*Type of Product:
* The 3-year limited warranty is only offered on the above SELECT Cushioning Products.
1. How did you learn about
®
DRY FLOATATION cushions?
therapist friend
doctor advertisement
dealer
2. Why the ROHO system?
prescribed
suggested by a ROHO product user
unsatisfied with other brands
signature

REGISTRATION CARD

3-Year Limited Warranty
PLEASE COMPLETE, DETACH AND
MAIL FOR WARRANTY REGISTRATION
)
19-34 35-54
No
(Printed on back of cushion along lip)
® ®
QUADTRO SELECT
3. How was your ROHO
paid for?
insurance
self/family
Other_____________________
4. How many cushions do
you currently own?
1
2
By signing this card, you agree that The ROHO
Group may contact you in the future with
additional product or promotional support.
55-65 Over 65
CONTOUR SELECT™
®
cushion
Medicare
(Please specify)
3 more than 4
4