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CUSTOMER INFORMATION
PRODUCT INFORMATION
PRODUCT MODEL NUMBER
Numbers and letters beginning with UC and
separated by dashes
PRODUCT SERIAL NUMBER
Located on the hand control wire, on the
metal frame and in this manual
PURCHASE DATE
WHAT DO YOU LIKE MOST ABOUT YOUR
NEW RECLINER?
FIRST NAME
LAST NAME
ADDRESS
ADDRESS 2
CITY
STATE ZIP
EMAIL ADDRESS
RETAILER NAME
RETAILER ADDRESS
ADDRESS 2
CITY STATE ZIP
RETAILER INFORMATION
Comfort That’s Patented
™
AMERICA
PRODUCT REGISTRATION
SAVE TIME!
Register your product online.
Visit ultracomfort.com
or scan this QR code!
LIKE US ON FACEBOOK!
Facebook.com/
UltracomfortAmerica
www.ultracomfort.com
Cut along dotted line and
mail to:
UltraComfort, 401 Bridge Street, Old Forge, PA 18518
Summary of Contents for UltraCozy SERENE XR UC669
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