Back Date* DD slash MM slash YYYY Name* First Last Best Contact Phone Number*Email used to register your MyBelt* MyZone Belt Id Number (Can be found on the back of the belt)*Which MyZone do you own?*MyZone 1MZone 3Myzone SwitchWhat seems to be the Issue?*How did you charge your Myzone?*ComputerWall UnitHow many times have you charged your MyZone?*Please enter a number from 0 to 100.Was your MyZone used for swimming or any water sport?*Where do your store your MyZone when not in use?*SignatureYour Myzone Issue enquiry will be processed by our Member Care Manager who will be in contact with you during business hours.* I agree understand the following:Your Myzone Issue enquiry will be processed by our Member Care Manager who will be in contact with you during business hours.
