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.
1. Name _________________________________________________________________________
2. Address _______________________________________________________________________
City ______________________________________ State ______ Zip Code _________
3. E-Mail Address _________________________________________________________________
4. Age:
18-24
5. Marital Status:
6. Number of Children in the House :
7. Income:
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.?
COMMENTS _____________________________________________________________________
_________________________________________________________________________________
WARRANTY
Ms.
25-34
Married
Single
12 yrs and under _________ 13-18 yrs _________
$25,001-$50,000
YES
Model: IMB3000
35-49
$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
22
50+
$75,001+
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