Serial # is either a combination of alpha-numeric characters, or a 4-8 digit number, and is located on footplate or inside anterior support. If bilateral, please enter Serial # for both LEFT and RIGHT.
* these values have to be filled out.
¹ A confirmation will be sent to the email address given in the form when the registration is processed. If no email address is given you won't receive any confirmation. Email addresses given in this form is only used for sending confirmation.
² Please contact the company you have indicated to obtain return authorization.