Thursday, 17 May 2012
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Product Registration
Thank you for purchasing a Brownie's product. Please complete the form below and fill out the sections marked with an * to register your product.
We also ask that you fill out the rest of the questionnaire as well, however that is not required. We use this information to get a better understanding of who our customers are and what their future product needs might be.
_______________________________________________________
* First Name :
* Last Name :
* Address :
* City :
* State :
Choose Option
[select state]
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DC - Washington DC
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Lousiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hamshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennesse
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
---------
Other
* Zip Code :
* Phone :
* Email :
Check here
if you do not wish to learn more about Brownie's or receive information about new product releases.
_______________________________________________________
* Date of Purchase : (Example: yyyy/mm/dd)
* Model Number :
Choose Option
F280
F390
E140
E150
E250
C270
C300
C390
CTD390
EC1
EC2
YP25
YP35
YP45
YP55
YP75
YP95
YP135
NM-10
NM-20
NM-CS-10
NM-CS-20
NM-CS-30
* Serial Number :
* Store Name :
* Store Location :
_______________________________________________________
* Brownie's Marine Group keeps all information provided confidential. Please save your Proof of Purchase for Warranty Repair.
_______________________________________________________
Marital Staus :
Single
Married
Significant Other
Your Gender :
Male
Female
How did you learn of this product?
Advertisement
Internet
In store display
Salesperson reccomendation
Friends reccomendation
Other
Check the most important reasons influencing your purchase :
Received as a gift
Product features
Value for price
Quality/Reputation/Durability
Prior experience with a Brownies
Warranty
Other
Thank you for taking time to fill out this questionnaire!
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