Earlex Product Registration

Please complete the Product Registration form below:

Title	Mr Mrs Miss Ms
Name *
Address 1 *
Address 2
Address 3
Postcode *
Email *
* Please ensure this information is completed

Model Name
Date of Purchase	Day Month Year (e.g. 2007)

1. What type of store was the product purchased from?
Homebase	Focus
Screwfix	B&Q
Argos	Machine Mart
Wickes	Other (please state)

2. How did you learn about this product?
Store display	Brochure
Mail order catalogue	Newspaper
Friend/relative	Other (please state)
Magazine

3. Which factor most influenced your choice of an Earlex product?
Product features	Brand/reputation
Price	Quality

4. If you have purchased an HVLP, where do you intend to use it?
Interior walls or ceilings	Decking
Radiators	Doors
Spindles	Other (please state)
Fences

5. Age group
18 - 24	44 - 54
25 - 34	55 - 64
35 - 44	65 +

6. Gender
Male	Female

6. Please tick below if you would like to:
Receive Earlex news & offers	Participate in Earlex research

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