Warranty Registration

Warranty Info
Warranty Registration

Thank you for purchasing a FUJIMI product. Registering your FUJIMI 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.

1. Name & Address*:
*First Name :
*Initial :
*Last Name :
*Street :
Apt. No. :
*City :
*State/Province :
*Zip/Postal Code :
*E-mail Address :
2. Date of Birth:
	/ (Month/Year)
3. Marital Status:
	Married Single
4. Date of Purchase*:
	/ / (MM/DD/YYYY)
5. Model Number*:
	(located on product box)
6. Serial Number*:
	(Located on the bottom or side of the product):
7. Store Where Purchased*:

8. How did you first become aware of this product?:
	a. Received as a Gift b. Online/Internet c. Magazine Article/TV Feature d. Friends/Family Recommendation e. Store Display/Sales Person/Store Advertisement f. Other
9. What factors most influenced your purchase?: (Please select all that applies)
	a. Received as a Gift b. Brand Reputation c. Product Reputation d. Product Features e. Product Packaging f. Friends/Family Recommendation g. Value for Price h. Design/Appearance i. Store Display j. Quality/Durability
10. This product is:
	a. Your first product of this type b. A replacement for a FUJIMI products of this type c. A replacement for another brand d. An additional purchase
11. Ethnicity:
	a. Caucasian/White b. Asian/Asian American c. African American d. Hispanic/Hispanic American e. Native American f. Other
12. You are:
	a. A professional b. Self employed c. A student d. In the military e. Retired f. A homemaker g. Other
13. Annual Household Income:
	a. Under $20,000 b. $20,000 - $29,999 c. $30,000 - $39,999 d. $40,000 - $49,999 e. $50,000 - $59,999 f. $60,000 - $69,999 g. $70,000 and over