OWNER'S REGISTRATION FORM
Complete registration form and mail or complete
Brand: |
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| (Reddy Heater, Master, Remington, etc.) | ||||||||||||||||
Model: |
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| (R60, HD15, etc.) |
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Date Purchased: |
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| Note: Keep receipt for warranty verification. | ||||||||||||||||||
Serial Number: |
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| 7 or 9 digit number located on product or identification tag. | |||||||||||||||||
First Name: |
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Address: |
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City: |
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Phone: ( | ) | - |
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Please answer the following questions to register your product with DESA International: | ||||||||||||||||||||||
1. | Who will heater be used by? | ❍ Individual ❍ Business |
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2. | Will you use your heater in more than one location? ❍ Yes ❍ No |
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3. | Where will the product be used? (You may select more than one.) ❍ Workshop ❍ Barn ❍ Residential Construction | |||||||||||||||||||||
| ❍ Commercial Construction | ❍ Garage ❍ Factory ❍ Recreation | ❍ Warehouse | ❍ Utility Shed/Outbuilding | ||||||||||||||||||
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| Other❍ |
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4.Cost of product (excluding sales tax)? $________________________________
5. | Maintenance/service work will be performed by: ❍ Self |
| ❍ Service Center | ❍ Other ___________________________________ | ||||||||||||||||
6. | If you bought this product yourself, did you plan to purchase this type of product before going into the store? | ❍ Yes | ❍ No | |||||||||||||||||
7. | Type of store where product was purchased? | ❍ Hardware | ❍ Propane Dealer | ❍ Natural Gas/Utility Co. | ❍ Home Center or Builder's Supply | |||||||||||||||
| ❍ Farm/Ag. Supply | ❍ Auto Parts ❍ Warehouse Club | ❍ Industrial/Contractor Supply ❍ Rental Store |
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| Discount❍ Store | ❍ HVAC Dealer | ❍ Other _________________________________________________ |
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8. | What is your primary source of heat? | ❍ Propane (LP Gas) | ❍ Natural Gas | ❍ Kerosene | ❍ Diesel ❍ Electric | ❍ Other________________ | ||||||||||||||
9. | What motivated you to buy this product? ❍ Sudden Cold Weather ❍ Replace Older Model | ❍ D.I.Y. Home Project | ❍ Emergency | |||||||||||||||||
| ❍ Heater on Sale | ❍ Construction Project | ❍ Hard to Heat Location | ❍ Other ________________________________ | ||||||||||||||||
10. | How did you learn about this product brand? ❍ Advertisement ❍ Relative or Friend | ❍ | ❍ Store Representative | |||||||||||||||||
| ❍ Store Display | ❍ Previously Owned a Heater | ❍ Other _________________________________________________(Specify) | |||||||||||||||||
11. | What other brands did you consider? | ❍ None ❍ Master | ❍ Remington ❍ | ❍ Mr. Heater ❍ L.B. White Tradesman | ||||||||||||||||
| ❍ John Deere | ❍ | ❍ | ❍ Paulin | ❍ Coleman | ❍ Vogelzang American | ❍ Other ___________________________________ | |||||||||||||
12. | Who selected the product? | ❍ Male | ❍ Female | ❍ Both |
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13. | Level of Education of Purchaser: | ❍ High School | ❍ Vocation/Technical School | ❍ Some College | ❍ Completed College ❍ Graduate School | |||||||||||||||
14. | Age of Purchaser: ❍ Under 20 | ❍ 20 - 29 | ❍ 30 - 39 |
| ❍ 40 - 49 | ❍ 50 - 59 | ❍ 60 or Over |
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15. | Buyer's total annual household income: ❍ Under | $19,999 | ❍ $20,000 to $34,999 | ❍ $35,000 to $49,999 |
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| ❍ $50,000 to $74,999 | ❍ $75,000 to $99,999 | ❍ $100,000 and Over |
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16. | What is the population of your area? | ❍ Under 10,000 | ❍ 10,000 to 25,000 | ❍ 25,000 to 50,000 | ❍ 50,000 to 100,000 | |||||||||||||||
| ❍ 100,000 to 250,000 | ❍ Over 250,000 |
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17.Store where product was purchased:
Name: ______________________________________ City: _____________________________________ State: __________
18.In choosing this product, how important were the following:
| Not | Somewhat | Very |
| Not | Somewhat | Very |
Availability | ❍ | ❍ | ❍ | Size | ❍ | ❍ | ❍ |
Price | ❍ | ❍ | ❍ | Prior Brand Experience | ❍ | ❍ | ❍ |
Brand Name | ❍ | ❍ | ❍ | ❍ | ❍ | ❍ | |
Overall Quality | ❍ | ❍ | ❍ | Ease of Operation | ❍ | ❍ | ❍ |
Heat Output (Btu/Hr Rating) | ❍ | ❍ | ❍ | Special Features | ❍ | ❍ | ❍ |
Variable Heat Output (Btu/Hr) | ❍ | ❍ | ❍ | Salesperson's Recommendation | ❍ | ❍ | ❍ |
Made in USA | ❍ | ❍ | ❍ | Friend/Relative's Recommendation ❍ | ❍ | ❍ | |
Warranty | ❍ | ❍ | ❍ | Portability | ❍ | ❍ | ❍ |
Local Service | ❍ | ❍ | ❍ | Quiet Operation | ❍ | ❍ | ❍ |
Value for Price | ❍ | ❍ | ❍ |
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19.This question will allow us to better understand the demographic profile of our customers. Which of the following best describes you? (not required)
❍African American ❍ Asian American ❍ Mexican ❍ Puerto Rican ❍ Cuban ❍ Other Hispanic ❍ White ❍ Other ___________________