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Hot Tub Warranty Registration
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Full Name
Address
Address2
City
State / Province
Zip / Postal Code
Home Phone
(222) 333-4444
Date Of Delivery
(mm/dd/yyyy)
Model Number
Serial Number
Age Group
20-29
30-39
40-49
50-59
60-69
70+
Family Size
1-2
3-4
5-6
7+
Income Group
$ 30000 - $ 45999
$ 46000 - $ 59999
$ 60000 - $ 75999
$ 76000 - $ 89999
$90000+
Key Factors in Selecting Your Hot Tub
(hold down "Ctrl" key then click on all factors that apply)
Price/Value
Features
Color Options
Comfort/Seating
Dealer Recommendation
Satisfaction With Your Sales Person
(1 = low, 6 = high)
Choose One
6
5
4
3
2
1
Satisfaction With Your Delivery
(1 = low, 6 = high)
Choose One
6
5
4
3
2
1
Overall Satisfaction With Your Purchase
(1 = low, 6 = high)
Choose One
6
5
4
3
2
1
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