Device Warranty Registration

Device Warranty Registration

Please fill the below form to register your product for warranty
Internal notes
Name*

First NameLast Name
Email*
example@example.com
Mobile Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Order Number
Can be found on your order confirmation email
Date of Purchase*

DayMonthYear
Date
Please select the product(s) you are registering*

LED it Glow - At Home Light Therapy DeviceClean Freak - High Frequency Sonic Cleansing DeviceBDE - Neck & Decolletage Light Therapy DeviceOther
Upload order confirmation &/or retailer receipt*

Browse Files

Cancelof
Please read and select*

I confirm all information provided is true and correct
Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty: