106179-01E
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11
For more information, visit www.desatech.com
For more information, visit www.desatech.com
1. Who will heater be used by?
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Individual
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Business
2. Will you use your heater in more than one location?
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Yes
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No
3. Where will the product be used? (You may select more than one.)
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Workshop
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Barn
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Residential Construction
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Commercial Construction
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Garage
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Factory
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Recreation
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Warehouse
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Utility Shed/Outbuilding
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Other ______________________________ (Specify)
4. Cost of product (excluding sales tax)? $________________________________
5. Maintenance/service work will be performed by:
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Self
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Service Center
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Other ___________________________________
6. If you bought this product yourself, did you plan to purchase this type of product before going into the store?
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Yes
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No
7. Type of store where product was purchased?
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Hardware
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Propane Dealer
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Natural Gas/Utility Co.
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Home Center or Builder’s Supply
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Farm/Ag. Supply
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Auto Parts
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Warehouse Club
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Industrial/Contractor Supply
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Rental Store
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Discount Store
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HVAC Dealer
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Other _________________________________________________
8. What is your primary source of heat?
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Propane (LP Gas)
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Natural Gas
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Kerosene
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Diesel
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Electric
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Other________________
9. What motivated you to buy this product?
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Sudden Cold Weather
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Replace Older Model
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D.I.Y. Home Project
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Emergency Back-Up Heat
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Heater on Sale
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Construction Project
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Hard to Heat Location
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Other ________________________________
10. How did you learn about this product brand?
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Advertisement
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Relative or Friend
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Co-Worker
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Store Representative
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Store Display
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Previously Owned a Heater
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Other _________________________________________________(Specify)
11. What other brands did you consider?
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None
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Master
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Remington
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All-Pro
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Dayton
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Universal
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Mr. Heater
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L.B. White Tradesman
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John Deere
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Dyna-Glo
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Dura-Heat
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Paulin
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Coleman
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Vogelzang American
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Other ___________________________________
12. Who selected the product?
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Male
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Female
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Both
13. Level of Education of Purchaser:
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High School
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Vocation/Technical School
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Some College
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Completed College
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Graduate School
14. Age of Purchaser:
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Under 20
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20 - 29
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30 - 39
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40 - 49
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50 - 59
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60 or Over
15. Buyer’s total annual household income:
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Under $19,999
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$20,000 to $34,999
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$35,000 to $49,999
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$50,000 to $74,999
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$75,000 to $99,999
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$100,000 and Over
16. What is the population of your area?
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Under 10,000
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10,000 to 25,000
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25,000 to 50,000
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50,000 to 100,000
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100,000 to 250,000
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Over 250,000
17. Store where product was purchased:
Name: ______________________________________ City: _____________________________________ State: __________
18. In choosing this product, how important were the following:
Availability
Price
Brand Name
Overall Quality
Heat Output (Btu/Hr Rating)
Variable Heat Output (Btu/Hr)
Made in USA
Warranty
Local Service
Value for Price
19. This question will allow us to better understand the demographic profile of our customers. Which of the following best describes you? (not required)
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African American
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Asian American
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Mexican
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Puerto Rican
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Cuban
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Other Hispanic
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White
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Other ___________________
Brand:
(Reddy Heater, Master, Remington, etc.)
Model:
(R60, HD15, etc.)
Date Purchased:
Note:
Keep receipt for warranty verification.
Serial Number:
7 or 9 digit number located on product or identification tag.
First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
Phone: ( ) - E-Mail:
OWNER'S REGISTRATION FORM
Please answer the following questions to register your product with DESA Heating Products:
Complete registration form and mail or complete on-line registration at www.desatech.com within 30 days after purchase.
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Size
Prior Brand Experience
Built-In Thermostat
Ease of Operation
Special Features
Salesperson’s Recommendation
Friend/Relative’s Recommendation
Portability
Quiet Operation
