Thank you for purchasing this fine Magic Clean product. Please fill out this form and return it to the
following address within 100 days from the date of purchase and receive these important benefits:
➢ Protect your product:
We will keep the model number and date of purchase of your new Magic Clean 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
None
Reason for Choosing This Magic Clean
Product: Please indicate the most important
factors That influenced your decision to
purchase this
Price
product:
Product Features
Magic Clean Reputation
Product Quality
Salesperson Recommendation
Other: ___________________
Friend / Relative Recommendation
Warranty
Other: ___________________
Comments:
Registration Information
Magic Clean
3265 Meridian Pkwy # 114 – Weston, Florida 33331
Magic Clean Registration Card
Zip
Model #
Date Purchased
E-mail Address
Occupation
As your Primary Residence, Do You:
Rent
Own
Your Age:
under 18 18-25 26-30
31-35
36-50 over 50
Marital Status:
Single
Married
Is This Product Used In The:
Business
Home
How Did You Learn About This Product:
Advertising
In-Store Demo
Personal Demo
51
Serial #
Store / Dealer Name