Warranty Form

Full Name*
First Name Last Name
Email*
Phone*
(Area Code) – Phone Number
Address*
Street Address
Street Address Line 2
City* State/Province*
Zip Code* Country*

Product Information

Date of Purchase*
Model #*
Serial #*
Purchased From*
Address*
Street Address
Street Address Line 2

Optional Information

How did you hear about Robo-Pong?
Who was the robot purchased for?
Why did you buy the Robot?
(Check all that apply)
  • Entertainment
  • Fun
  • Exercise
  • Teaching Aid
  • Improve Skills
  • Other
What influenced your decision?
  • Research
  • Ad
  • Personal Recommendation
  • Other
  • Product Review
Where do you use your robot?
How long have you had your table?
What is your age?
Which Newgy NetChecker would you like to receive?
Yes, I would like more information on specials from Newgy