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WARRANTY REGISTRATION CARD
To complete your registration, visit our website at www.jacuzzi.com or fill out and mail this card to the address printed
on the other side within thirty (30) days from date of purchase in order for this warranty to take effect.
Purchaser's Name ______________________
Purchaser's Address ____________________
City __________________ State __ Zip ____
Home Phone: __________________ Cell Phone:
Email: ________________________________
Date of Purchase ________
Model Name __________________________
Serial Number _________________________
Dealer's Name _________________________
Dealer's Address _______________________
1. How did you first hear about this Jacuzzi
®
product?
( ) Advertisement ( ) Article in Magazine/Newspaper
( ) Visited Dealer/Plumbing Supplier ( ) Yellow Pages
( ) Builder/Plumber/Remodeler ( ) Decorator/Architect
( ) Visited Retailer/Home Center Store
( ) Word of Mouth . . . Friend/Relative/Acquaintance
( ) Other (Please Describe) ______________
2. Who first gave you specific information about this product (specifications, prices, etc.)?
( ) Dealer/Plumbing Supplier ( ) Builder ( ) Remodeler
( ) Plumbing Contractor ( ) Retailer/Home Center Store
( ) Decorator/Architect ( ) Already Installed
3. What was the main reason for purchase?
( ) Styling ( ) Warranty Service ( ) Product Features
( ) Brand Name ( ) Price ( ) Hydrotherapy
( ) Home Resale _______________________
( ) Other _____________________________
4. Who finally decided which product you would buy?
( ) Self ( ) Spouse ( ) Self and Spouse Together
( ) Other Family Member ( ) Designer/Architect
( ) Builder/Plumber/Remodeler ( ) Already Installed
5. Who installed? ( ) Already installed/New Home
( ) Contractor/Plumber when remodeling
( ) Self/Spouse when remodeling
( ) Other _____________________________
6. What is the current market value of this property?
Please estimate $ _____________________
7. What is the age of the head of the household? Years
8. What other manufacturers did you consider?
( ) Eljer ( ) Lasco ( ) Price Pfister ( ) Aqua Glass
( ) Kohler ( ) American Standard ( ) Sterling
( ) Other (Specify) _____________________
9. How long did you shop before purchasing unit?
( ) 1 day
( ) 2 months- 6 months
( ) 2-7 days
( ) 6 months- 1 year
( ) 1 week- 2 weeks ( ) 1 year- 2 years
( ) 2 weeks- 4 weeks ( ) +2 years
( ) 1 month- 2 months
10. Approximately how long have you lived in this home
?
11. Please indicate, approximately, the total annual income of your household.
( ) Up to $24,999 ( ) $50,000 to $74,999
( ) $25,000 to $29,999 ( ) $75,000 to $99,999
( ) $30,000 to $39,999 ( ) $100,000 to $149,999
( ) $40,000 to $49,999 ( ) $150,000 and Above
12. Was your purchase process?
( ) Very easy ( ) Easy ( ) Difficult ( ) Very Difficult
13. How technically aware were you of the patented Jacuzzi
®
jet system prior to your purchase?
( ) Not aware ( ) Somewhat aware ( ) Very aware
JACUZZI LUXURY BATH
RG43000
Ninety-Day
Parts Only
Limited Warranty
On
Accessory(ies)
