Warranty Registration

Warranty Registration

Thank you again for purchasing from the Verilux line of healthy lighting  solutions. Please register for our limited warranty below. Have a Bright Day!

First Name:*
Middle Initial:
Last Name:*
Address 1:*
Address 2:
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Model Number:
Serial or Lot Number:
Date Purchased:*

How did you first become aware of this Verilux® Product?

  • Mail Order Catalog
  • Magazine/Newspaper Article/Ad
  • Friend's/Relatives Recommendation
  • Store Display
  • TV Ad
  • Internet Search
  • Other:

Where did you purchase your Verilux® Product?

  • Received as gift
  • Mail Order Catalog
  • Retail Store
  • Internet
  • Print Ad
  • TV Ad
  • Other, specify Name & Location Where Purchased:

What Three Factors MOST Influenced Your Decision to Purchase This Verilux® Product?

  • Received as a Gift
  • Price/Value
  • Style/Design
  • Size
  • Color
  • Special Features
  • Perceived Quality
  • Health benefits
  • Magazine Article
  • Ease Of Operation
  • Prior Experience
  • Color Rendition Capability
  • Friend/Relative/Doctor Recommendation
  • Other:
This product will be primarily used:
  • At Home
  • In Office/Business

What is the Age and Gender of the Person Who Will Use this Product Most Often?

  • Gender:
  • Age:
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