Warranty Registration Form (* = required fields)
* First Name:
* Last Name:
Company Name:
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* Address:
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* City:
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* Date Purchased:
* Purchased From:
Product(s) Purchased:
If you purchased a dock from FLOE please list the size of the pieces you purchased:
List Accessories Purchased:
How did you hear about FLOE?
Tell us about yourself:
Annual Family Income:
Select One
under 25,000
25,000-50,000
50,000-75,000
75,000-100,000
100,000-125,000
125,000-150,000
over 150,000
Occupation:
Age Range :
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18-29 years
30-45 years
45-55 years
55 and older
Highest level of education completed:
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High School
Two year college or technical school
4 year college
Graduate School
What most influenced you to buy a FLOE product?
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Brand reputation
Advertisement
Quality
Warranty
Price
Style / Appearance
Features / Benefits
Overall rating of FLOE dealer in terms of customer service (check one)
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