WestBend SCH4TG Instruction Manual - Page 16

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: Smoothie Chill™ 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 ____ TV advertisement ____ Print ad ____ Magazine article ____ Recommendation from friend ____ Saw product in store ____ TV shopping program ____ Internet ____ Other 10. What were the two most important reasons influencing your purchase: ____ Gift ____ Special offer ____ Product appearance ____ Ease of operation ____ Quality/durability ____ Product features ____ Recommended by sales person ____ Recommended by friend ____ Prior experience with Back to Basics ____ Back to Basics brand reputation ____ Value for price ____ Product packaging ____ Other 11. Why did you purchase this Back to Basics® product? ____ To replacement/upgrade current product ____ Not satisfied 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 16