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Warranty Registration

We hope you have begun enjoying your new product. As you begin to use this product you will uncover the fine workmanship that goes into every product. All of the products come with a product warranty. To validate your warranty please fill out the form below and click the submit button below.

Date of Purchase
Name
Address
City
State
Zip
Telephone
E-mail

Name of organization you purchased your product from:

The product was:
A gift for myself
A gift for a friend
A gift for a family member
A gift from someone to me
Purchased for an employee to use for his/her job
Purchased for customers to use at a place of business
Purchased for residents of an assisted living center or retirement home

How did you acquire the product?

Telephone
Mail order
Catalog
Website
Hearing care professional
Retail Store

Your age group is:

Under 20
20-35
36-45
46-55
56-65
66-75
75+

Your household income:

$25,000 & under
$25,000 - $35,000
$35,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000+

Are you retired?

Yes
No

How did you learn about the products?

Advertisement
Word of mouth
Demonstration at a trade show
Direct mail
Email promotion
Local telephone service provider
Hearing care professional
Web site - which one:
Catalog -
State program – TEPP/TAPP/Distribution - Please specify state:
Other - Please specify:

Do you use a credit card when you shop?

Yes
No

How many telephones do you have in your house?

Do you have a cell phone?
Yes - please specify brand/model:
No

Do you watch television?

Never
Sometimes
Frequently

Do you have internet access?

Yes
No

Where do you turn for most of your news and current event information?

Newspaper
Radio
Television
Magazine
Website
Online News Group

Which product did you purchase?

What is the serial number of the product you purchased??

I would like to receive information on upcoming special promotions, exclusive offers and product updates by:

Mail
E-Mail

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