Registration

First Name*

Last Name*

Address Line 1*

Please select one of the pre-populated address options below or select the "I prefer to manually type my address"

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Address

Address Line 2

City*

State/Province*

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Country*

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Postal Code*

Email*

Phone*

It is very important to provide an accurate email address. Your email address will receive status updates throughout the process. Most importantly, your credit will be in the form of an Electronic Gift Card which will be sent to the email address you provide

Model Number*

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Where did you hear about this recall?*

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By providing the information in this form and selecting register I acknowledge and agree that my information is stored, processed and accessed in the United States and subject to the laws of that country. I further grant permission for the use of such data for the purpose of carrying out activities related to a product recall.

One or more required fields are missing.