Warranty Registration Form
Thank you for registering your warranty.
Name
Email
Contact Number
Country
Australia
New Zealand
Date of Purchase
Invoice/Receipt Number
Did you purchase your Protect-A-Bed® product on the same receipt as a new mattress?
Yes
No
What is the primary reason(s) for your purchase?
Providing protection against bedwetting, for a child under 5
Providing protection against continence or nocturnal enuresis (anyone over 5)
Providing dust mite and allergy protection
Protecting your mattress from spills and perspiration stains
Name of Store
Location of Store
Product Name and Size 1
Product Name and Size 2
Product Name and Size 3
Product Name and Size 4
Product Name and Size 5
How did you find out about Protect-A-Bed?
Select any one
In a store
Google Search
Social Media
Word of mouth
TV
Doctors recommendation
Tradeshow / Exhibition
Other
Age of the person whose bed the protector will be used on?
Select any one
0-5
6-12
13-21
22-55
56+
Subscribe to our mailing list?
Yes
No
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