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Thank you for your purchase of a Graco
product. Your input regarding this
product is very important to us.
Return this card today to:
1 1
REGISTER
YOUR PRODUCT
We will keep the model
number, serial number,
and date of purchase of
your Graco product on
file.
2 2
RECEIVE FUTURE
INFORMATION
By returning this card, you
will help us to notify you
of any issues concerning
this product.
3 3
HELP US DEVELOP
NEW PRODUCTS
We value your input.
Your responses will help
us develop new products
specifically designed to
meet your needs.
IMPORTANT!
!
1.
Mr.
2.
Mrs.
3.
First Name:
Address: (Number and Street)
City:
@
Phone #:
$
Store Name:
^
Record Model Number and Serial Number:
(These can be found on the white label on the product)
Model Number
Serial Number
&
Was this purchase a:
1.
Gift?
2.
Self purchase?
*
Is this your first child?
1.
Yes
2.
No
(
In what trimester was your purchasing
decision made?
1.
1st
2.
2nd
BL
This child is:
1.
Male
2.
Female
BM
How did you first hear about this Graco product?
1.
Word of Mouth
5.
2.
Salesperson
6.
3.
In-Store Display
7.
4.
Magazine Ad
BN
Check the three (3) most important reasons
why you purchased this Graco product:
1.
Received as a Gift
2.
Fabric Design / Appearance
3.
Frame Design / Style
4.
Graco Reputation
5.
Recommendation of Salesperson
6.
Recommendation of Friend / Family
7.
Value for Price
8.
Magazine Advertisement
9.
Ease of Operation
10.
Light Weight
11.
Product Features
12.
Sale / Promotion
13.
Prior Experience with Graco
BO
What other brands did you consider?
1.
Graco was the only brand considered
2.
Century
6.
Fisher Price
3.
Combi
7.
Gerry
4.
Cosco
8.
Other _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
5.
Evenflo
BP
Have you purchased Graco products before?
1.
Yes
2.
No
Thanks for taking time to fill out this questionnaire. Please check here [ ] if you do not wish to learn more about Graco or obtain
Product Registration Card
Ms.
4.
Miss
Initial:
Last Name:
#
I am a:
1.
%
Date of Purchase:
Month
BQ
Where do you and your family do most of your shopping
1.
2.
3.
BR
Baby's date of birth:
(or due date)
BS
Date of Your birth:
BT
For your primary residence, do you:
1.
BU
Your marital status:
1.
3.
3rd
CL
Education (Please check which category applies):
1.
2.
CM
Including yourself, what is the total number of people
Store Flyer
living in your household?
Catalog
Other
CN
NOT including yourself, what are the AGES of the
other people living in your household?
Male:
Female:
CO
Which best describes your family income?
1.
2.
3.
4.
CP
In the last 6 months have you or your spouse:
1.
2.
3.
4.
5.
6.
7.
8.
9.
information on new ideas from other exciting companies.
IMPORTANT!
Apt. #:
State:
Zip Code:
Parent
2.
Grandparent
Day
Year
Shopping Mall
Discount Store
Specialty Store
Month
Day
Month
Day
Own?
2.
Rent?
Married
2.
Single
High School
3.
Completed College
Some College
4.
Graduate School
(Examples: 01, 02, 03, 04...)
Age (in years)
Under $15,000
5.
$50,000-$74,999
$15,000-$24,999
6.
$75,000-$100,000
$25,000-$34,999
7.
$100,000-$149,999
$35,000-$49,999
8.
Over $150,000
Purchased clothes through the mail?
Purchased gifts through the mail?
Worked in your garden?
Traveled on vacation?
Purchased through television shopping?
Purchased two or more books?
Purchased cassettes or CDs?
Donated to wildlife / environmental causes?
Donated to charities?
238
Year
Year
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