Warranty Registration Form

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Warranty Registration Form

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

Registrant 
First Name*
Last Name*
Address:
Phone*
Email Address*
Product Information
Model Number*
Serial Number*
Store Name
Purchase Price
Date of Purchase
Additional Offers*
 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
For your primary residence, do you:
Your marital Status
Which best describes your family income?
Year of Birth
Education
Someone in my home participates in the following activities (check all that apply):