WARRANTY REGISTRATION

GET-A-GRIP™ WARRANTY
Thank you for your purchase of Good Vibrations Products. Please take a moment to register your product information below. Once complete, please click on "Submit Warranty Registration". * Denotes Required Field
* First Name:	*REQUIREDREQUIRED
* Last Name:	*REQUIREDREQUIRED
* Your City:	*REQUIRED
* Your State/Province	Select one... AA (Armed Forces Americas) AE (Armed Forces Europe) Alabama Alaska Alberta American Samoa AP (Armed Forces Pacific) Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northern Mariana Islands Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Other (Non U.S.) Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory *REQUIRED
* Your Zipcode:	*REQUIRED
* Your Phone:	*REQUIRED XXX-XXX-XXXX
* Your Email:	*REQUIRED Invalid Email
* Date Purchased:	* MM/DD/YYYY Invalid Date Format
Product(s) Purchased:	Get A Grip
Store Purchased From?:	*REQUIRED
How did you learn about Good Vibrations?
What other Good Vibrations Products Have You Purchased?
Additional Comments:
	I hereby acknowledge that this equipment is in satisfactory condition and that I have received, read, and understand the instructions.