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

Name & Address:

Title:

*First Name:

Initial:

*Last Name:

*Street:

Apt. No.:

*City:

*State/Province:

*Zip/Postal Code:

*E-mail Address:

Phone Number (Not Required) :

Age:

a. 18-25

b. 26-35

c. 36-45

d. 46-55

e. 56-65

f. 66 and up

Marital Status:

Married

Single

*Date of Purchase:

(MM/DD/YYYY)

*Model Number:

(located on product box)

*Lot Number:

(Located on the bottom or side of the product.
For model # EC-BD15 please leave blank. )

*Store Where Purchased:

Receipt:

(If you have a receipt available, please use the form below to upload.)

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

How did you first become aware of this product?:

What factors most influenced your purchase?:

(Please select all that applies)

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

What other brands did you consider?:

Which of the following products do you:

Ethnicity:

You are:

a. A professional

b. Self employed

c. A student

d. In the military

e. Retired

f. A homemaker

g. Other

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

Any Comments?:

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Thank you for registering your product!

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Electric Products Registration

Questionnaire

Zojirushi 101 (Newsletter)