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Karastan Products

Warranty Registration Card: For your protection, please complete
and submit immediately. By doing so, your product will be properly
registered with Karastan. Proper registration will serve as proof of
purchase if you lose your sales receipt. The additional information
will help us to better serve customers like you and contact you with
any special customer offers.

* Required Fields

     
1. Mr.   Mrs.   Ms.   Miss   Dr.   Rev
*First Name
*Last Name
*Street Address
Apartment # 
*City
*State/Province
*Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
 
2.* Date of purchase:
Month Day   Year 
 
3.* Did you purchase an area rug or carpeting?
  Area Rug     Carpeting
 
4.* What is the line name of the Karastan product purchased?
 
5. Where did you place your new Karastan product? (check all that apply, hold Ctrl then click for multiple selections)
    OR Other:
 
6. Who initiated the purchasing process for your new area rug or carpet product?
   Female head-of household      Male head-of household
   Other 
 
7. Who influenced the purchase choice for your new area rug or carpet product?
   Female head-of household      Male head-of household  
   Other 
 
8. Which best describes what caused you to buy a new area rug or carpet?
 
9. Have you owned or purchased a Karastan product before?
Yes   No   Don't Know
 
10. Which of the following factors influenced you to purchase Karastan
over your second-choice brand? (check all that apply, hold Ctrl then
click for multiple selections)
 
 
11. Which best describes the interior decor of the home in which you live? (click best response)
Other  
 
12. What is your date of birth?
Month   Year
 
13. Excluding yourself, what is the gender and age (in years) of children and other adults living in your household?
No one else in household    Child under one year
Other individuals in household:
Male     Female  years
Male     Female  years
Male     Female  years
Male     Female  years
 
14. What is your marital status?
Married   Single
 
15. What is the highest level of education that you have attained? (click best response)
 
16. Which group describes your annual household income?
 
17. To help us understand our customer's lifestyles, please indicate the interests and activities in which you and/or your spouse enjoy participating on a regular basis. (check all that apply, hold Ctrl then click for multiple selections)
 
18. From the above list, please indicate your 3 most important activities:
 
19.* Name of Karastan Dealer:

Dealer Zip Code:
 
   

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