Electric Products Registration

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Thank you for purchasing a Zojirushi product. Registering your Zojirushi product today will allow us to contact you in the unlikely event any safety notifications are issued for your product, and ensure efficient warranty service.

Failure to register will not diminish your warranty rights.

*Required Fields

1. Name & Address:
Title:
-- Please Select -- Mr. Mrs. Ms. Miss
*First Name:
Initial:
*Last Name:
*Street:
Apt. No.:
*City:
*State/Province:
-- Please Select -- AA AB AE AK AL AP AR AS AZ BC CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MP MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UM UT VA VI VT WA WI WV WY YT
*Zip/Postal Code:
*E-mail Address:
Phone Number (Not Required) :
2. Age:
a. 18-25
b. 26-35
c. 36-45
d. 46-55
e. 56-65
f. 66 and up
3. Marital Status:
Married
Single
4. *Date of Purchase:
(MM/DD/YYYY)
5. *Model Number:
(located on product box)
-- Please Select -- BB-CEC20 BB-HAC10 BB-PDC20 BB-SSC10 CD-LFC30 CD-LFC40 CD-LFC50 CD-LTC50 CD-NAC40 CD-NAC50 CD-WCC30 CD-WCC40 CD-WHC40 CV-DCC40 CV-DCC50 CV-JAC40 CV-JAC50 CW-PZC22 CW-PZC30 EA-BDC10 EA-DCC10 EB-CC15 EB-DLC10 EC-DAC50 EC-YGC120 EC-YTC100 EF-VPC40 EL-CAC60 EP-PBC10 EP-PFC20 EP-RAC50 ET-WMC22 ET-ZLC30 NHS-06 NHS-10 NHS-18 NL-AAC10 NL-AAC18 NL-BAC05 NL-DCC10 NL-DCC18 NL-GAC10 NL-GAC18 NP-GBC05 NP-HCC10 NP-HCC18 NP-NWC10 NP-NWC18 NS-LGC05 NS-LHC05 NS-RPC10 NS-RPC10KT NS-RPC18 NS-TSC10 NS-TSC10A NS-TSC18 NS-TSC18A NS-WAC10 NS-WAC18 NS-WTC10 NS-WXC10 NS-YAC10 NS-YAC18 NS-ZCC10 NS-ZCC18 NW-JEC10 NW-JEC18 NYC-36 OTHER THA-603 THA-803
6. *Lot Number:
(Located on the bottom or side of the product.
For model # EC-BD15 please leave blank. )
7. *Store Where Purchased:
8. Receipt:
(If you have a receipt available, please use the form below to upload.)

9. Type of Store Where Purchased:
a. Received as a Gift
b. Specialty Store
c. Online / Internet
d. Television / Catalog
e. Department Store
f. Warehouse Club
g. Grocery / Supermarket
h. Military Exchange
i. Other
10. How did you first become aware of this product?:
a. Received as a gift
b. Online/Internet
c. Magazine Article/TV Feature
d. Friends/Family Recommendation
e. Store Display/Sales Person/Store Advertisement
f. In-Store Demo
g. Advertisement (TV, Internet, Radio, etc.)
h. TV Shopping Program
i. Catalog
j. Past Experience with Zojirushi
k. Other
11. What factors most influenced your purchase?:
(Please select all that applies)
a. Received as a Gift
b. Brand Reputation
c. Product Reputation
d. Product Features
e. Product Packaging
f. Friends/Family Recommendation
g. Value for Price
h. Design/Appearance
i. Store Display
j. Quality/Durability
k. Special Offer
l. Recommendation of Salesperson
m. Zojirushi Website
n. Zojirushi Advertisement
o. Retailer Website
p. Retailer Advertisement
q. Online Reviews
r. Saw in Magazine/Catalog
s. Prior Experience with Zojirushi
12. This product is:
a. Your first product of this type
b. A replacement for a Zojirushi product of this type
c. A replacement for another brand
d. An additional purchase
13. What other brands did you consider?:
14. Which of the following products do you:
Currently Own
Intend to Buy
a. Drip Coffee Maker a.
b. Single Serve Coffee Maker b.
c. Espresso Maker c.
d. Coffee Grinder d.
e. Toaster Oven/Toaster e.
f. Slow Cooker f.
g. Food Processor g.
h. Kitchen Scale h.
i. Hot Water Pot/Boiler i.
j. Electric Kettle j.
k. Hand Mixer k.
l. Stand Mixer l.
m. Breadmaker m.
n. Rice Cooker n.
o. Electric Griddle o.
p. Electric Indoor Grill p.
q. Electric Grill (Folding-Type, Panini Press) q.
r. Juicer r.
s. Blender s.
t. Immersion Blender t.
u. Steamer u.
15. Ethnicity:
Caucasian/White
Asian/Asian American
Asian Indian Chinese Taiwanese Filipino Japanese Korean Vietnamese Other Asian
African American
Hispanic/Hispanic American
Central American or South American Cuban Dominican Mexican, Mexican American, Chicano Other Spanish or Latino Puerto Rican
American Indian or Alaskan Native
Native Hawaiian or Other Pacific Islander
Native Hawaiian Guamian or Chamorro Samoan Other Pacific Islander Other Asian
Other
16. You are:
a. A professional
b. Self employed
c. A student
d. In the military
e. Retired
f. A homemaker
g. Other
17. Annual Household Income:
a. Under $20,000
c. $20,000 - $39,999
e. $40,000 - $59,999
g. $60,000 - $79,999
h. $80,000 - $99,999
i. $100,000 - $149,999
j. $150,000 and over
18. Any Comments?: