Register your grill online at www.ducane.com. (If you register online, you do not need to send in this registration card.)
Thank you for purchasing a Ducane® Affinity™ gas grill. Completing the information on this form will allow us to contact you on matters related to your grill. Thank you very much for providing the information below.
Note: Often times when you fill out a form like this, you end up receiving unwanted solicitations from companies you don’t know. We respect your privacy. We will not sell, rent, or distribute your name, address, or personal information to other companies at any time. This information will only be used in the event we need to contact you and for market research purposes.
1. PLEASE PRINT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |||||||||||||||||||||||||||||
First Name |
|
|
|
|
|
|
|
|
|
|
|
|
| M.I. Last Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Apt. No. | |||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
City |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| State |
| Zip Code | |||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Phone |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||
( |
|
|
|
| ) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||
2.Serial Number:
3.Model Number:
4. When did you purchase your grill? Month |
|
| Day |
|
| Year |
8. Which best describes your interest in grilling?
I’m a grilling fanatic |
| I moderately enjoy grilling |
I enjoy grilling very much, but I’m not fanatical about it |
| I’m only marginally interested in grilling |
|
Knowing more about who buys our grills helps us develop new and innovative products. Please complete the questions you feel comfortable answering, and pass by any question you prefer to leave blank. Again, this information is not sold or rented.
9. Gender: |
| Male |
|
| Female |
|
|
|
|
| |||||
10. Marital Status: |
|
|
| Married |
| Single |
| ||||||||
|
|
|
|
| |||||||||||
11. Date of Birth: |
|
|
|
|
|
|
|
| |||||||
| Month |
|
|
|
| Day |
|
| Year | ||||||
12. Including yourself, how many people live in your household?
Adults |
|
| Children |
13. What are the ages of the children living at home?
Age 2 and under | Age 5 to 12 |
|
|
Age 3 to 4 | Age 13 to 17 |
| |
14. Do you own or rent a home? | Own | Rent | |
15. What is the highest level of education you completed?
Some high school |
| Earned a college degree |
Earned a high school diploma |
| Earned a graduate degree |
|
16. What is your total annual household income?
Under $15,000 |
| $35,000 – 39,999 |
| $60,000 | – 74,999 |
| $175,000 – 199,999 |
$15,000 – 24,999 |
| $40,000 – 44,999 |
| – 99,999 |
| $200,000 – 249,999 | |
|
| $75,000 |
| ||||
$25,000 – 29,999 |
| $45,000 – 49,999 |
| $100,000 – 149,999 |
| $250,000 – 299,999 | |
|
|
| |||||
$30,000 – 34,999 |
| $50,000 – 59,999 |
| $150,000 – 174,999 |
| $300,000 or more | |
|
|
| |||||
_________
6. Is this grill. . .
The first grill you have ever owned? |
| A replacement for an old or broken gas grill? |
A replacement for an old or broken charcoal grill? |
| An additional grill for your household? |
|
7. What brand of grill did you own most recently?
|
| This is the first grill I have owned |
| Weber charcoal grill |
| Thermos gas grill |
|
| Ducane gas grill |
| Weber gas grill |
| Fiesta gas grill |
|
|
|
| |||
|
|
|
|
|
| |
|
|
|
|
|
| ____________________ |
|
|
|
|
|
| |
|
|
|
|
|
|
|
08/01/06 |
|
|
|
| ||
|
| 5 |
|
| . |
|
| Without |
Weber |
|
|
| Ducane |
|
|
| tax, |
portable | portable |
|
|
| how |
grill |
| much |
|
| |
| grill |
|
|
| did |
|
| you |
|
| pay |
|
| for |
|
| it? |
Sunbeam | Char |
|
Broil | $ | |
| - |
|
gas | gas |
|
grill | grill |
|
|
| . |
|
| 00 |
| Other |
|
17. Which activities or interests do you enjoy?
Arts/antiques |
| Camping/hiking |
| Needlework |
| Attending cultural arts/events |
Biking/bicycling |
| Foreign travel |
| My cat |
| Shopping by mail order/catalog |
|
|
| ||||
Boating/sailing |
| Gardening/plants |
| My dog |
| Listening to music on my CD player |
|
|
| ||||
Buying videos |
| Veterans’ affairs |
| Snow skiing |
| Listening to music on any device |
|
|
| ||||
Walking |
| Politics |
| Stocks and bonds |
| Physical fitness/exercise |
|
|
| ||||
Fishing |
| The grandchildren |
| Personal computers |
| Subscribing to cable TV |
|
|
| ||||
Golf |
| Motorcycles |
| Donating to charity |
| |
|
|
|
| |||
|
|
| ||||
|
|
| ____________________ | |||
|
|
|
| |||
|
|
|
| |||
Dieting Running
Hunting Houseplants
Tennis Photography
Other Watching sports on
TV
