Questionnaire

Congratulations on your purchase and thank you for your business! We expect your recent investment to bring you many years of enjoyment and good health. In order to ensure a smooth and seamless delivery, please fill out this form and return it to your sales consultant within 24 hours from the date of sale. Please fill out all pertinent information to avoid any delays in delivery. We prefer that you email this form to, [email protected]. You may also fax it to (310) 975-6598 or simply return it to your sales consultant. Please feel free to call us with any questions at (866) 203-5770. Congratulations and we look forward to a long, healthy, prosperous relationship.