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Warranty Form

5 Bessemer Road, Bayswater, Victoria, Australia 3153
Phone (03) 9729 8244

Mynxx Optima Geneva Helvetica

Lucida Georgia Trebuchet Palatino

Online Product Warranty Registration

Please fill out this form for our warranty records after purchase

First name

Surname

Email Address

Street/#

Suburb

State

Postcode

Retail Place of Purchase

Reason for product purchase?

Age of Purchaser

Below 25
25-34
35-44
44 and over

Type Of Waterbed

Standard (Free Flow)
Waveless

Size

King
Queen
Double
Single
Other

Style

Single Bladder
Twin Bladder

Date of Purchase

Date of Install

Please Verify Code

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Product Range

Camping & Outdoor
Hospital & Aged Care
Promotional Products
Water Tanks/Storage
Waterbeds
Truck Beds
Plaspiline Rope Clamps

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