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Regency Warranty Registration
Store of Purchase:
Date of Invoice:
Invoice Number:
Customer Name:
Customer Address:
Customer Phone Number:
Customer Email:
Date of Delivery or Collection:
Spa Serial Number:
I hereby agree to the terms and conditions of this warranty and understand the conditions,
exclusion and limitation.
Customer Signature:
Date:
Please post filled in form with photo copied original receipt to:
Aqua Pulse Spas
Unit 2 / 3333 Pacific Highway
Slacks Creek QLD 4127
Or Email:
sales@aquapulsespas.com.au