Warranty Registration

Please register your product within 10 days of the purchase date to activate your product warranty. Your registration data will enable us to contact you in the event any notifications are issued for this product. Be assured your information is for internal use only at Multi Radiance Medical and will not be sold.

Note: The equipment must be repaired by factory trained personnel only!

How to Find Serial Numbers

Model Number *

Base Unit Serial Number (N/A for TQ Solo Portable) *

Emitter Serial Number *

Date Purchased *

Sales Person & Phone *

First Name *

Last Name *

Medical Profession * Sports Medicine Chiropractic Patient Physical Therapy General Medicine Veterinary Other

Facility/Business Name *

Type of Business *

Rated Activator Doctor * Yes No

Email *

Yes, sign me up to receive news, promotions and offers. Privacy / Terms of Service

Work Phone *

Address 1 *

Address 2

City *

State *

Zip/Postal Code *

Country *