Thank you for purchasing this fine Avanti product. Please fill out this form and return it within 100 days of
purchase and receive these important benefits to the following address:
Protect your product:
We will keep the model number and date of purchase of your new Avanti product on file to help
you refer to this information in the event of an insurance claim such as fire or theft.
Promote better products:
We value your input. Your responses will help us develop products designed to best meet your
future needs.
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__________________________________
Name
__________________________________
Address
__________________________________
City
State
__________________________________
Area Code
Phone Number
Did You Purchase An Additional Warranty:
Extended
Reason For Choosing This Avanti Product:
50 Please indicate the most important factors
that influenced your decision to purchase
this product.
Price
Product Features
Avanti Reputation
Product Quality
Salesperson Recommendation
Friend/Relative Recommendation
Warranty
Other_______________________
REGISTRATION INFORMATION
Avanti Products LLC
P.O. Box 520604 - Miami, Florida 33152 USA
Avanti Registration Form
______________________________________
Model #
______________________________________
Date Purchased
______________________________________
Zip
Occupation
As Your Primary Residence, Do You:
Your Age:
None
Marital Status:
Is This Product Used In The:
How Did You Learn About This Product:
Comments_____________________________
______________________________________
______________________________________
Serial #
Store/Dealer Name
Own
Rent
under 18
18-25
31-35
36-50
Married
Single
Home
Business
Advertising
In Store Demo
Other________________________________
47
26-30
over
Personal Demo