Complete your Warranty Registration Online

Please complete the form below.
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Tell Us About Yourself

* Your Name:
Address:
* Phone:
Email Address :

Tell Us About Your Safety Tub

* Model Name:
* Color:
White Biscuit
Options:
Additional Options:
Additional Options:
Additional Options:
Additional Options:
* Date of Purchase Name:
(MM/DD/YYYY)
/ /
* Place of Purchase Name:
* Place of Purchase Address:

Who Installed Your Safety Tub?

Builder New House
Plumber Self/Spouse
Please Provide Installer's
Name and Address:

Additional Comments

Comments on product:
Security Code:
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