Giro Helmet manual R E G I S T E R H E R E F O R G I R O S

HEY!!! C R A S H R E P L A C E M E N T P R O G R A M
R E G I S T E R H E R E F O R G I R O ' S	83F

1What helmet did you buy?

1.

Ravine™ 2.

Chute™

3.

Pitch™ 4.

Bugaboo™ 5.

Flint™ 6.

2 1.

Mr.

2.

Ms.

3.

Miss

4.

Ms.

First Name:

Initial:

Last Name:

Nine™

3	Address/Number and Street:					Apt.#:
	City:				State:	Zip:
	Phone Number:
4	Date of Purchase:
		month	year
5	Serial Number:			(located on hard shell, under ear pad)

6Why did you choose this helmet? (top 2 reasons)

	1.	Received as a gift			4.	Quality/Durability			7.		Great Ventilation
	2.	Crash Program			5.	Great Fit			8.		Salesperson rec.
	3.	Color/Graphics			6.	It's a Giro			9.		It's Lightweight
7	Is this your:		1.	First snowsport helmet				2.		Replacement helmet
8	Is this your first Giro helmet?					1.	Yes	2.		No

9What other brands did you consider?

1.	Bell	4.	Carrera	7.	Jofa
2.	Boeri	5.	Leedom	8.	RED (Burton)
3.	Briko	6.	Louis Garneau	9.	Other

10How many days per year do you snowboard or ski?

1. 1-5 2. 6-10 3. 11-20 4. More than 20 days/year

11For which sports/activities will this helmet be used?

1.	Snowboarding	2.	Sking		3.		Ski-boarding	4.	Other
12 Your Date of Birth:
		month		day		year

13What other sports do you participate in?

1.	Road Cycling	5.	Hiking	9.	Golf
2.	Mountain Biking	6.	Backpacking	10.	Team Sports
3.	Running	7.	Tennis	11.	Motor Sports
4.	Inline Skating	8.	Skateboarding	12.	Other

14Including children, what are the ages of the other people that live in your house?

Male: years Female: years

15Education (please check categories which apply):

1.	High School	3.	Completed College
2.	Some College	4.	Graduate School

16Which best describes your family income?

1.	Under $15,000	4.	$35,000-$49,999	7.	$100,000-$149,999
2.	$15,000-$24,999	5.	$50,000-$74,999	8.	Over $150,000
3.	$25,000-$34,999	6.	$75,000-$99,999

17In the last six months have you or others in your household:

1.	Purchased clothes through the mail?	6.	Purchased two or more books?
2.	Purchased gifts through the mail?	7.	Purchased casettes/CDs?
3.	Worked in your garden?	8.	Donated to wildlife or
4.	Traveled on vacation		environmental causes?
5.	Purchased PC or PC software?	9.	Donated to charities?

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