Warranty Registration CUSTOMER INFORMATIONFull Name (As Per IC)(Required) IC Number(Required) Gender(Required)MaleFemaleRace(Required)MalayChineseIndianOthersAge Range(Required)18 and below19 to 3031 to 4041 to 5051 to 6061 and abovePhone(Required)Email(Required) Your Address(Required) Full Address State(Required)JohorKedahKelantanMalaccaNegeri SembilanPahangPenangPerakPerlisSabahSarawakSelangorTerengganuKuala LumpurLabuanPutrajayaPRODUCT INFORMATIONModel Name(Required) RemarksIf you have purchased more than one product and wish to register a warranty for each item, please submit a separate form for each product.Brands(Required)AerofoamMylatexTherapedicEastman HouseSize(Required)Single SizeSuper Single SizeQueen SizeKing SizeSuper King SizeHiddenBrands Value(Required)1Date of Purchase(Required) MM slash DD slash YYYY Purchase From(Required)DealerExhibitionsOnlineOthersName of the Dealer / Exhibitions / Online Store / Others:(Required) Upload Receipt(Required)Max. file size: 2 MB.We are only able to accept images that are saved in (jpg, png or pdf) format. Max file size is 2MB.Consent(Required) I confirmed that I have read and acknowledged the Warranty Coverage and Privacy Policy including the usage, collection and processing of my personal data by Aerofoam.