Product Registration

Please register your restiffic device to enroll in our 30 day satisfaction guarantee and 6 month workmanship warranty.

 
First Name *

Last Name *

Phone Number *

When did you purchase your device? (mm/dd/yyyy) *

Where did you purchase your device? *

Age *

Gender *

How many years have you had RLS? *

How did you hear about restiffic? *



 

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