Warranty Registration

Thank you for purchasing an IMAK product. Register your IMAK product for a FREE one-year warranty. For more information on our warranty, please see our Warranty Statement.

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Your Information
First Name:*		Last Name:*
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Date of Purchase:*

Product Information
What IMAK Product(s) did you purchase? (please select all that apply) * Adjustable Pil-O-Splint Arthritis Gloves Back Cushion Computer Glove Elbow Support Elbow Band Eye Pillow HappiNeck Keyboard Cushion Knee Strap MediTIE Therapy Wrap Mouse Cushion Neck Support Pil-O-Splint Shoulder Cushion SmartGlove SmartGlove PM SmartGlove w/Thumb Other (please specify)
Where did you buy your IMAK product(s)? *
How did you become aware of IMAK products? * Radio Salesperson Physician/Therapist Pharmacist Newspaper Friend/Relative Internet Magazine Store special Store circular Television Ad
What is your annual income bracket? *
What is the highest level of education you have attained? *
What is your age bracket? *

Additional Information
What other brands did you consider purchasing?
What were the three most important factors that influenced your buying decision? Comfort Support Quality Pain Relief Appearance Recommendation Price Prevention Ease of Use I've bought other IMAK products before and loved them! Other (please specify below)
What activities do you perform that cause you to feel pain? Keyboard use Mouse use Calculator use Handheld PC use Cash register use Machine operation Programming Gaming Other
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Testimonial/Comments - Please share with us how you are benefiting from your new IMAK product.
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