Product Registration

Name & Address

Title

Date of Birth

State *

Marital Status

Product Information

Date of Purchase

$

.00

Please include all 12 digits

Survey Information(optional)

What are the top three (3) reasons influencing the purchase of your Sierra Designs product?













Which of these products do you plan to purchase in the next 12 months?








Where do you plan to shop/purchase any of the items listed above?



Which of the following magazines do you read on a regular basis? (3 out of the last 4 issues)










What outdoor activities do you and your family frequently participate in together? (3 or more times per month)





Who inspired you to participate in these activities?



Do you participate in any of these additional sport/recreation activities?












Not including yourself, what is the GENDER and AGE (in years) of children and other adults living in your household?

gender age

1.

2.

3.

4.

Occupation (check all that apply)

You:Spouse:

Are you or your spouse?

You:Spouse:

Which group describes your annual family income?







Level of education: (select highest level completed)


Which credit cards do you use regularly?


For your primary residence, do you:

How recently did you move into your current residence?



Which of the following do you plan to do within the next 1 - 6 or 7 - 12 months? (select all that apply)

1 - 6 Months7 - 12 Months

Please check all that apply to your household.






To help us understand our customers' lifestyles, please indicate the interests and activities in which you or your spouse enjoy participating on a regular basis.


























From the above list, please indicate your 3 most important activities:

1.

2.

3.

Your Privacy Rights

We collect personal information about our users only during product registration. The data we collect is used in the aggregate to give us demographic information about the entire audience registering their products. We use this to understand that audience and to improve our offerings to you, our customers. Failure to submit this registration will not diminish your warranty rights.

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