BedTech Extended Warranty Registration

BedTech Warranty Program Registration

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Base Purchased(Required)

Choose the base purchased

Base Serial Number if know:

If other was selected above note here the base purchased:

Original Invoice #:(Required)

Plan Purchased(Required)

Adjustable Base 5 Year Protection Plan - $79.99

Adjustable Base 10 Year Protection Plan - $99.99

Name

This field is for validation purposes and should be left unchanged.