La-Z-Boy | Comfort, It's What We Do.
Sign In with Facebook
Go
Shop By:

Product Registration

1. Name & Address:

Title:*
First Name:*  
MI:
Last Name:*  
Street:*  
Apt. No.:
City:*  
State/Province:*  
Zip/Postal Code:*  
E-Mail Address:*  

2. Date of Birth:

3. Marital Status:

4. Date of Purchase:

5. ALI (Ack-Line-Item):

(The ALI number may be obtained from the Product Identification Label which is attached to the unit. Example: 0606301111-001-001)

6. Style Number:

7. Cover Number (Example: CD 801222 or D 801222):

8. Please indicate where you purchased this product:

9. Was the purchase:

10. What was the main reason for this purchase? (check all that apply)











11. How did you first become aware of this La-Z-Boy product?











12. What product features most influenced this purchase? (check up to 3)






13. What factors most influenced the decision to purchase the La-Z-Boy brand? (check up to 3)













14. Which group describes your annual family income?















15. For your primary residence, do you:



             

Failure to submit this registration will not diminish your warranty rights.

Click here to see our privacy policy.

Enter for a chance to win a new Ford lease.
*NO PURCHASE NECESSARY. Ends 9/13/10. To play and for Official Rules, visit http://www.la-z-boy.com/LZB.
*Not an actual coupon. See participating store for details.
Enter the Relax & Live Well Sweepstakes.
*NO PURCHASE NECESSARY. Ends 1/15/11. To play and for Official Rules, visit http://www.la-z-boy.com/promotion/.