Electric Products Registration

Registration

Registration & Questionnaire

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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 :
First Name :
Initial :
Last Name :
Street :
Apt. No. :
City :
State/Province :
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)

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.)

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Please note that prizes can only be shipped to addresses within the U.S.A. or Canada.

By checking this box, I accept all of the terms and conditions regarding my receipt of the newsletter and participation in the drawing.

Thank you for registering your product!

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