Back to Basics SMOOTHIE BLAST SJR1X User Manual page 16

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. Mr. Mr. Mr. Mrs. Mrs. Mrs. Mrs.
1. Name ___________________________________________________________________________
2. Address _________________________________________________________________________
City ______________________________________ State ______ Zip Code ___________
3. E-Mail Address __________________________________________________________________
4. Age: 4. Age: 4. Age: 4. Age: 4. Age: 18-24 18-24 18-24 18-24 18-24
5. Marital Status: 5. Marital Status: 5. Marital Status:
6. Number of Children in the House :
7. Income: 7. Income: 7. Income: 7. Income: 7. Income: Below $25,000 Below $25,000 Below $25,000 Below $25,000 Below $25,000
8. Where was this product purchased? _______________________________________________
9. How did you become aware of this product?
____ Gift
____ TV advertisement
____ Print ad
____ Magazine article
10. What were the two most important reasons infl uencing your purchase:
____ Gift
____ Special offer
____ Product appearance
____ Ease of operation
____ Quality/durability
____ Product features
11. Why did you purchase this Back to Basics product?
____ To replacement/upgrade current product
____ Not satisfi ed with current product(s) already owned
____ First product(s) ever owned
____ Received as a gift
12. Would you be interested in being contacted via e-mail for promotions, recipes, new
product information, etc.? product information, etc.? product information, etc.?
COMMENTS _______________________________________________________________________
___________________________________________________________________________________
WARRANTY
Ms. Ms. Ms. Ms.
25-34 25-34 25-34 25-34 25-34
Married Married Married Single Single Single
12 yrs and under _________ 13-18 yrs _________
$25,001-$50,000 $25,001-$50,000 $25,001-$50,000 $25,001-$50,000 $25,001-$50,000
YES YES YES
Model: Smoothie Blast
35-49 35-49 35-49 35-49 35-49
$50,001-$75,000 $50,001-$75,000 $50,001-$75,000 $50,001-$75,000 $50,001-$75,000
____ Recommendation from friend
____ Saw product in store
____ TV shopping program
____ Internet
____ Other _________________________
____ Recommended by sales person
____ Recommended by friend
____ Prior experience with Back to Basics
____ Back to Basics brand reputation
____ Value for price
____ Product packaging
____ Other _________________________
NO NO NO
16
™
50+ 50+ 50+ 50+ 50+
$75,001+ $75,001+ $75,001+ $75,001+ $75,001+