Graco 6113, 6110, 6111, 6114 manual Return this card today to

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IMPORTANT!	Product Registration Card	IMPORTANT!
! 1. † Mr. 2. † Mrs.	3. † Ms. 4. † Miss	238
First Name:	Initial: Last Name:

Thank you for your purchase of a Graco

product. Your input regarding this product is very important to us.

Return this card today to:

		Address: (Number and Street)						Apt. #:
		City:			State:		Zip Code:
@
	Phone #:		# I am a:
$				1. † Parent		2. † Grandparent
			% Date of Purchase:
		Store Name:

1	REGISTER
	YOUR PRODUCT
	We will keep the model	MAILING
	number, serial number,
	and date of purchase of	BEFORE
	your Graco product on
	file.	HERE
2	RECEIVE FUTURE
		DETACH
	INFORMATION
	By returning this card, you
	will help us to notify you
	of any issues concerning
	this product.
3	HELP US DEVELOP
	NEW PRODUCTS

We value your input. Your responses will help us develop new products specifically designed to meet your needs.

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BN

BO

BP

Record Model Number and Serial Number: (These can be found on the white label on the product)

Model Number

Serial Number

Was this purchase a:
1. † Gift?	2.	† Self purchase?
Is this your first child?
1. † Yes	2.	† No

In what trimester was your purchasing decision made?

1. † 1st 2. † 2nd 3. † 3rd

This child is:
1. † Male	2. † Female

How did you first hear about this Graco product?

1. † Word of Mouth	5. † Store Flyer
2. † Salesperson	6. † Catalog
3. † In-Store Display	7. † Other
4. † Magazine Ad

Check the three (3) most important reasons why you purchased this Graco product:

1.† Received as a Gift

2.† Fabric Design / Appearance

3.† Frame Design / Style

4.† Graco Reputation

5.† Recommendation of Salesperson

6.† Recommendation of Friend / Family

7.† Value for Price

8.† Magazine Advertisement

9.† Ease of Operation

10.† Light Weight

11.† Product Features

12.† Sale / Promotion

13.† Prior Experience with Graco

What other brands did you consider?
1. † Graco was the only brand considered
2. † Century	6. † Fisher Price
3. † Combi	7. † Gerry
4. † Cosco	8. † Other	_
5. † Evenflo
Have you purchased Graco products before?
1. † Yes	2. † No

BQ

BR BS BT BU CL

CM

CN

CO

CP

Month Day Year

Where do you and your family do most of your shopping?

1.† Shopping Mall

2.† Discount Store

3.† Specialty Store

Baby’s date of birth:
(or due date)		Month	Day	Year
Date of Your birth:
		Month	Day	Year
For your primary residence, do you:
1. † Own?	2. † Rent?
Your marital status:
1. † Married	2. † Single
Education (Please check which category applies):
1. † High School		3. † Completed College
2. † Some College		4. † Graduate School

Including yourself, what is the total number of people living in your household?

(Examples: 01, 02, 03, 04...)

NOT including yourself, what are the AGES of the other people living in your household?

Age (in years)

Male:

Female:

Which best describes your family income?

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

In the last 6 months have you or your spouse:

1.† Purchased clothes through the mail?

2.† Purchased gifts through the mail?

3.† Worked in your garden?

4.† Traveled on vacation?

5.† Purchased through television shopping?

6.† Purchased two or more books?

7.† Purchased cassettes or CDs?

8.† Donated to wildlife / environmental causes?

9.† Donated to charities?

Thanks for taking time to fill out this questionnaire. Please check here [ ] if you do not wish to learn more about Graco or obtain

information on new ideas from other exciting companies.