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Please fill in your Power Lift & Recline Chair information below. This
information will be useful in the event that you should ever need to contact
Ultra Comfort, Inc. concerning your lift chair.
Date of Purchase ___________________________________________________
Model ____________________________________________________________
Serial Number _____________________________________________________
Your Ultra Comfort representative or provider
Name ____________________________________________________________
Company _________________________________________________________
Address __________________________________________________________
CAUTION
Do not allow children to play on this mechanized furniture
or operate the mechanism.
Leg rest folds down on closing so that a child could
possibly be injured.
Always leave chair in a sitting position. Keep hands
and feet clear of mechanism. Only the occupant should
operate it.
for Your reCorDs
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