This form registers your product and helps us to gain a better understanding of our consumers. However, failure to complete and return this form does not diminish your warranty rights.
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First Name
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Last Name
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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Email Address
Additional Offers:
Do you wish to receive offers or product updates via email?
Do you wish to obtain information or opportunities from other companies via email?
Purchase Information
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Model Purchased
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Store Name
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Date of Purchase
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Purchase Price
Purchase Decision
Please check the most important reasons influencing your purchase of this product:
Brand Reputation
Advertised Special
Product on Sale
Salesperson's Recommendation
Friend/Relative's Recommendation
Packaging
Received as a Gift
How did you first learn about this product?
Word of Mouth
Store Advertisement
Store Display
Magazine Article
Print Advertisement
Other
What other brands did you consider before selecting this product?
Swiss Army
Tissot
Nixon
Fossil
Citizen
Luminox
Seiko
Other
About You (optional)
Your gender
Male
Female
Your marital Status
Married
Single
Year of Birth
Someone in my home participates in the following activities (check all that apply):
Automotive work
Bible/devotional
Boating/sailing
Camping/hiking
Casino gambling
Contribute to charitable causes
Crafts
Cultural art/events
Cycling
Do-it-yourself
Enter sweepstakes/contests
Fishing
Fitness/exercise/jogging
Gardening
Golf
Gourmet cooking/food/wines
Grandchildren
Home decorating
Hunting/Shooting
Investments (mutual funds, IRA's)
Investments (stocks & bonds)
Movie watching
Own a cat
Own a dog
Snow skiing
Self improvement
Soccer
Tennis
Travel - Foreign
Travel - U.S.
TV shopping
Vitamins/natural foods
Watch sports on TV
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Indicates Response Required