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. | Miss | Model: Blender Express™ |
1.Name ___________________________________________________________________________
2.Address _________________________________________________________________________
City ______________________________________ State ______ Zip Code ___________
3.
4. | Age: |
| 50+ |
| ||||
5. | Marital Status: | Married |
| Single |
|
|
| |
6. | Number of Children in the House : | 12 yrs and under | _________ | |||||
7. | Income: | Below $25,000 | $75,000+ | |||||
8.Where was this product purchased? _______________________________________________
9.How did you become aware of this product?
____ Gift | ____ Reccomendation from friend |
____ TV advertisment | ____ Saw product in store |
____ Print Ad | ____ TV shopping program |
____ Magazine article | ____ Internet |
| ____ Other _________________________ |
10.Check the two most important reasons infl uencing your purchasing of this Back to Basics product:
____ Gift | ____ Recommended by sales person |
____ Special offer | ____ Recommended by friend |
____ Product appearance | ____ Prior expierence with Back to Basics |
____ Ease of operation | ____ Back to Basics brand reputation |
____ Quality/durrability | ____ Value for price |
____ Product features | ____ Product packaging |
| ____ Other _________________________ |
11. Why did you purchase this product? |
|
____ Purchased as a replacement/upgrade of broken product
____ Purchased as secondary product in addition to product(s) already
owned
____ First product(s) ever owned
____ Recieved as a gift
12. Would you be interested in being contacted via
product information, etc.? 
YES
NO
COMMENT ________________________________________________________________________
