IMPORTANT
Serial No.:
First Name :
Last Name :
Salon Name :
Salon Address :
City :
City :
State:
State:
Zip Code:
Zip Code:
Area Code:
Area Code:
Phone :
Phone :
Date of Purchase (mm/dd/yyyy):
Your Salon E-Mail Address:
Name of Distributor :
Completed Warranty Registration Form to : J&A USA Inc.
335 Crooked Hill Road Brentwood N.Y 11717
or Fax to 631-243-3339 or email to info@jausainc.com
Questionnaire
( We value your voice!)
2. Are you currently using J&A product/s? If so, How long?
2. If not, What other product ?
Yes : No :
Yes : No :
Yes : No :
Yes : No :
Year/s
Year/s
Year/s
4. What is the most important features in choosing Pedicure Spa? Brand
Design
Function
Service
1. Are you satisfy with Pedicure spa received?
Price
Other
5. How long in business?
6. How often are you remodel Your Salon?
9. Any suggestion or Comment
Limited Warranty Registration Form
8. Do you want to receive a promotion by email ?
To validate the limited warranty, The Limited Warranty Registration Form MUST be filled out completely and return to J&A
USA within 30 days of original purchased date. This Limited Warranty is valid if J&A USA received registration form.
7. Would you purchase J&A product in the future?
Tel (Salon)
Cell
J A
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