West Bend Back to Basics 4000 manual This Information is for Internal USE only

WARRANTY

Please complete and return this product warranty card or register your product online

at: backtobasicsproducts.com within 10 days of purchase.

THIS INFORMATION IS FOR INTERNAL USE ONLY

Mr. Mrs. Ms. Model: Blender Solution™ 4000

1.Name __________________________________________________________________

2.Address _________________________________________________________________

City ______________________________________ State ______ Zip Code _____

3.E-Mail Address ____________________________________________________________

4.	Age:	18-24		25-34	35-49	50+
5.	Marital Status:		Married	Single
6.	Number of Children in the House : 12 yrs and under _________					13-18 yrs _________
7.	Income:	Below $25,000		$25,001-$50,000	$50,001-$75,000		$75,001+

8.Where was this product purchased? ___________________________________________

9.How did you become aware of this product?

____ Gift	____ Recommendation from friend
____ TV advertisement	____ Saw product in store
____ Print ad	____ TV shopping program
____ Magazine article	____ Internet
	____ Other ________________________

10. What were the two most important reasons infl uencing your purchase:

____ Gift	____ Recommended by sales person
____ Special offer	____ Recommended by friend
____ Product appearance	____ Prior experience with Back to Basics
____ Ease of operation	____ Back to Basics brand reputation
____ Quality/durability	____ Value for price
____ Product features	____ Product packaging
	____ Other ________________________

11. Why did you purchase this Back to Basics® product?

____ To replacement/upgrade current product

____ Not satisfi ed with current product(s) already owned

____ First product(s) ever owned

____ Received as a gift

12. Would you be interested in being contacted via e-mail for promotions, recipes, new

product information, etc.? YES NO

COMMENTS _______________________________________________________________________

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