Warranty Registration

This form registers your product and helps us to gain a better understanding of our consumers. However, failure to complete and return this form does not diminish your warranty rights.

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Email Address *

Additional Offers: *

Do you wish to receive offers or product updates via email?

Do you wish to obtain information or opportunities from other companies via email?

Purchase Information

Model Purchased *

Serial Number *

Store Name *

Date of Purchase *

Purchase Price *

Purchase Decision

Please check the most important reasons influencing your purchase of this product: *

How did you first learn about this product? *

What other brands did you consider before selecting this product? *

About You (optional)

Your gender *

Male

Female

Year of Birth *

Which best describes your family income? *

Education: *

I use these credit cards: *

Someone in my home participates in the following activities (check all that apply): *

Brand Reputation	Advertised Special
Product on Sale	Salesperson's Recommendation
Friend/Relative's Recommendation	Packaging
Received as a Gift

American Express	Discover
Dinner's Club	Visa
MasterCard	Gas/Retail
Do not have credit cards

Automotive work	Bible/devotional
Boating/sailing	Camping/hiking
Casino gambling	Contribute to charitable causes
Crafts	Cultural art/events
Cycling	Do-it-yourself
Enter sweepstakes/contests	Fishing
Fitness/exercise/jogging	Gardening
Golf	Gourmet cooking/food/wines
Grandchildren	Home decorating
Hunting/Shooting	Investments (mutual funds, IRA's)
Investments (stocks & bonds)	Movie watching
Own a cat	Own a dog
Snow skiing	Self improvement
Soccer	Tennis
Travel - Foreign	Travel - U.S.
TV shopping	Vitamins/natural foods
Watch sports on TV