Service Request | Kyota Massage Chairs

* indicates required fields

First Name*

Last Name*

Email Address*

Phone Number*

Street Address

Unit/Ste. #

City

State/Province

Postal Code

Store Name*

Serial Number*

Chair Model Number*

Chair Color*

Date of Purchase*

Serial number is under a long barcode, on the back of the chair, in this general area

Do you have a current warranty?*

Proof of Purchase*

(JPG, PNG, GIF, or PDF. File must be less than 10 MB)

Photo of the issue

(JPG, PNG, GIF, or PDF. File must be less than 10 MB)

Description of the issue*

Service Requests