15
Please complete and return this product warranty card or register your
product online at: backtobasicsproducts.com within 10 days of purchase.
THIS INFORMATION IS FOR INTERNAL USE ONLY
Mr.
Mrs.
Ms.
Miss
Model: Blender Express
™
1. Name ___________________________________________________________________________
2. Address _________________________________________________________________________
City ______________________________________ State ______ Zip Code ___________
3. E-Mail Address __________________________________________________________________
4. Age:
18-24
25-34
35-49
50+
5. Marital Status:
Married
Single
6. Number of Children in the House : 12 yrs and under _________ 13-18 yrs _________
7. Income: Below $25,000 $25,000-$50,000 $50,000-$75,000 $75,000+
8. Where was this product purchased? _______________________________________________
9. How did you become aware of this product?
____ Gift
____ Reccomendation from friend
____ TV advertisment
____ Saw product in store
____ Print Ad
____ TV shopping program
____ Magazine article
____ Internet
____ Other _________________________
10. Check the two most important reasons infl uencing your purchasing of this Back to Basics
product:
____ Gift
____ Recommended by sales person
____ Special offer
____ Recommended by friend
____ Product appearance
____ Prior expierence with Back to Basics
____ Ease of operation
____ Back to Basics brand reputation
____ Quality/durrability
____ Value for price
____ Product features
____ Product packaging
____ Other _________________________
11. Why did you purchase this product?
____ Purchased as a replacement/upgrade of broken product
____ Purchased as secondary product in addition to product(s) already
owned
____ First product(s) ever owned
____ Recieved as a gift
12. Would you be interested in being contacted via e-mail for promotions, recipes, new
product information, etc.?
YES
NO
COMMENT ________________________________________________________________________
___________________________________________________________________________________
Mr.
Mrs.
Ms.
Miss
Mr.
Mrs.
Ms.
Miss
Mr.
Mrs.
Ms.
Miss
Mr.
Mrs.
Ms.
Miss
7. Income: Below $25,000 $25,000-$50,000 $50,000-$75,000 $75,000+
7. Income: Below $25,000 $25,000-$50,000 $50,000-$75,000 $75,000+
7. Income: Below $25,000 $25,000-$50,000 $50,000-$75,000 $75,000+
7. Income: Below $25,000 $25,000-$50,000 $50,000-$75,000 $75,000+
product information, etc.?
YES
NO
product information, etc.?
YES
NO
4. Age:
18-24
25-34
35-49
50+
5. Marital Status:
Married
Single
5. Marital Status:
Married
Single
4. Age:
18-24
25-34
35-49
50+
4. Age:
18-24
25-34
35-49
50+
WARRANTY
