For your protection, please complete and submit
your warranty registration card immediately. By doing so, your product
will be properly registered with Helios. Proper registration will serve as
proof of purchase if you lose your sales receipt. The additional
information will help us to better serve customers like you and contact
you with any special customer offers.
| 1. |
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| 2. |
*
Date of purchase:
Month Day
Year
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| 3. |
*
What is the line name of the Helios product
purchase?
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| 4. |
Where did you place your new Helios
product? (check all that apply)
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| 5. |
Who initiated the purchasing
process for your new carpet product?
(Other)
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| 6. |
Who influenced the purchase choice for your
carpet product?
(Other)
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| 7. |
Which best describes what caused you to buy
a new carpet?
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| 8. |
Have you owned or purchased a Helios
product before?
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| 9. |
Which of the following factors influenced
you to purchase Helios over your second-choice brand? (check all
that apply)
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| 10. |
Which best describes the interior decor of
the home in which you live? (click best
response)
(Other)
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| 11. |
What is your date of birth?
Month Year
|
| 12. |
Excluding yourself, what is the gender and
age (in years) of children and other adults living in your
household?
Other individuals in household:
years
years
years
years
|
| 13. |
What is your marital status?
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| 14. |
What is the highest level of education that
you have attained? (click best response)
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| 15. |
Which group describes your annual household
income?
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| 16. |
To help us understand our customer's
lifestyles, please indicate the interests and activities in which
you and/or your spouse enjoy participating on a regular basis.
(check all that apply, hold Ctrl then click for multiple
selections)
|
| 17. |
From the above list, please indicate your 3
most important activities:
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| 18. |
*
Name of Helios Dealer:
Dealer Zip Code:
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