Product Registration

We encourage you to register your new VARILITE product. Online registration can ensure your product is properly registered and also allows you to give us feedback about our products or ask for more information.

 

VARILITE provides a warranty on all new products. Please read the Limited Warranty, Limitations of Remedies and Liability for the U.S. and Canada for more information about the terms of warranty. If a problem arises with your VARILITE product, please call our Customer Service Department at (800) 827-4548.

 

For a return under warranty, you must call Customer Service to receive a Return Authorization (RA) number prior to sending the product in for repair or replacement. Please refer to the Warranty and Repair page for more information on the Return and Repair Policy.

 

 

Required fields are denoted with an asterisk(*).

*Serial Number

How to find the Serial & Part number.

The serial number is located on the cushion inside of the cover. See detail image at right.

*Part Number

The part number is located on the cushion inside of the cover. See detail image at right.

*Date Purchased

*Purchased From

*Recommended by

*Customer First Name

*Customer Last Name

*Address

*City

*State

*Zip

 

Phone

Email

*Country



Sex


 

Date of Birth

Weight

Height

Injury/Diagnosis

Date of Onset

Pressure Ulcer History

Type of Wheelchair


Chair Manufacturer

Chair Size

What was your previously used cushion or back system?

 

Transfers Per Day

Time in Chair Per Day

Are you a Sports Participant?









Reason(s) for Purchasing VARILITE












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