Wa rra nty Ac tiva tio n Fo rm 2 o f 2
OWNER'S INFORMATION
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Na me
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Ad d re ss City Sta te Zip
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Te le p ho ne Ema il
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Da te Sig na ture
Mo d e l: ___________________________________ Se ria l Numb e r: ______________________________
Purc ha se Da te : ___________________________ Purc ha se Pric e : _____________________________
Pla c e o f Purc ha se : _____________________________________________________________________
Co nta c t Na me : ___________________________ Pho ne Numb e r: _____________________________
Co p y o f sa le s re c e ipt must b e inc lud e d
with wa rra nty a c tiva tio n fo rms.
To a c tiva te ma nufa c ture r's wa rra nty, p le a se c o mp le te b o th p a g e s a nd
use o ne o f the o p tio ns b e lo w to sub m it.
Via ma il: Ella 's Bub b le s, LLC.
Wa rra nty De p a rtme nt
2101 S. C a rp e nte r St., Chic a g o , IL 60608
Via fa x: 1-312-666-3551
Via e ma il: wa rra nty@ e lla sb ub b le s.c o m
w w w.e lla sb ub b le s.c o m 27 of 27
