Name
Address
Phone
Just a few extra details to help us
adapt
&
survive!
Your age?
under 25 25-34 35-40 40+
Number of children
1 2 3 3+ soon!
Their ages?
How did you hear about us?
Which most excellent product did you buy?
Date of purchase? / /
Rate from 1-10 how likely you would be to
recommend this product to someone else?
1 2 3 4 5 6 7 8 9 10
Why?
Any general suggestions?
Can we inform you of any new products
and specials?
yes no
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and
teds.com
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return
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relax
warranty form
✄
14
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