Waterwise Logo FREE SHIPPING on all orders of $199 or more!

For a limited time, take advantage of FREE SHIPPING on all orders of $199 or more that ship to the Continental USA.

Orders less than $199, add 8% of merchandise total for shipping ($8.00 minimum). HI, AK, PR, and Canada add 14% ($14.00 minimum).

Please contact us with any questions. Waterwise Inc
3608 Parkway Blvd Leesburg FL 34748
Toll-Free 1-800-874-9028 M-F 9am–5pm ET

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WATERWISE 9000 WARRANTY REGISTRATION

The information you provide is strictly confidential and will be used for:
Product Development
We are always looking for ways to improve our products to more specifically meet your needs.
Customer Satisfaction
Our goal is to make sure you enjoy doing business with Waterwise. Learning as much as we can
about your satisfaction level helps us to continue to improve our customer service.
Product Safety Notification
Registering your product will help us to contact you in the unlikely event a safety notification is
required under the Consumer Product Safety Act.

1)
*
 Required Fields

Model Number

Waterwise 9000

Serial Number

*

Date Purchased
*
2)  
Name
*
Address
*
City
*
State/Province
*
Country
Postal Zip Code
*
Phone
Fax
E-mail
3) How did you find out about this product?
1
TV/Radio 7
Magazine Ad
2
Trade/Health Show 8
Magazine Article
3
Salesman 9
Health Professional
4
Direct Mail 10
Friend
5
Received as a Gift      
6
Internet      
4) The factors that influenced your purchase?
1
Value for the Price 7
Ease of Use
2
Brand Reputation 8
Warranty
3
Prior Experience 9
Cost Savings
4
Received as a Gift 10
Dr. Recommendation
5
Style/Appearance 11
Friend's Referral
6
Quality/Durability 12
Health Reasons
5) Primary reason for this purchase? (Check only one)
1
Tap Water Quality 5
Doctor Recommendation
2
Bottled Water Quality 6
Shower Water Quality
3
Expense of Bottled Water 8
Health Reasons/Diet Concerns
4
Inconvenience of Bottled Water      
6) This product will be used for?
1
Drinking 10
Humidifier
2
Cooking 11
Fruit Juices
3
Coffee/Tea 12
Houseplants
4
Ice Cubes 13
Batteries
5
Skin Care 14
Baby Formulas
6
Sprouting 15
Fasting
7
Steam Iron 16
Photography
8
Aquariums 17
Other
9
Pet Care  
 
7) Your Occupation (Check all that apply)
1
Professional/Technical 9
Retired
3
Management/Executive 11
Homemaker
5
Sales/Marketing 13
Self-employed
7
Tradesman/Laborer 15
Work from Home
Your Spouse's Occupation
2
Professional/Technical 10
Retired
4
Management/Executive 12
Homemaker
6
Sales/Marketing 14
Self-employed
8
Tradesman/Laborer 16
Work from Home
8) Which describes your annual family income?
1
Under $15,000 4
$50,000 - $74,999
2
$15,000 - $29,999 5
$75,000 - $99,999
3
$30,000 - $49,999 6
$100,000 +
9) Purchased from

10) Your birth month and year
11) Excluding yourself, what is the gender and age (in years) of others living in your household?
Male
Age
Female
Age
1
4
2
5
3
6
12) Your marital status?
1
Married
2
Single
3
Widowed
13) Location of appliance?
1
Kitchen 7
Basement
2
Living Room 8
Garage
3
Bedroom 9
Camper/RV
4
Bathroom 10
Vacation Home
5
Utility Room 11
Other
6
Office      
14) For your primary residence do you?
1
Own
2
Rent
15) How many years have you lived at this residence?
1
Less than 1 3
6 - 10
2
1 - 5 4
10 +
16) Which of the following Waterwise products do you currently own?
1
Distiller 9000 4
Distiller 1600
2
Distiller 7000 7
Distiller 8800
3
Distiller 4000 5
Showerwise
17) Your level of education
1
Some High School 4
Completed College
2
Completed High School 5
Graduate School
3
Some College 6
Vocational/Technical School
18) Which credit cards do you use regularly?
1
Visa 4
American Express
2
Mastercard 5
Do Not Use Credit Cards
3
Discover      

19) Please rate the following:

 
Package Condition
1
Very Satisfied 4
Very Dissatisfied
2
Satisfied      
3
Somewhat Dissatisfied      
Package Appearance
5
Very Satisfied 8
Very Dissatisfied
6
Satisfied      
7
Somewhat Dissatisfied      
Product Appearance
9
Very Satisfied 12
Very Dissatisfied
10
Satisfied      
11
Somewhat Dissatisfied      
Use & Care Guide
13
Very Satisfied 16
Very Dissatisfied
14
Satisfied      
15
Somewhat Dissatisfied      
Completeness of Product
(All parts & information included)
17
Very Satisfied 20
Very Dissatisfied
18
Satisfied      
19
Somewhat Dissatisfied      
20) Is anyone in your household interested in any of the following?
1
Personal Health/Fitness 4
Cooking/Baking
2
Indoor Air Quality 5
Water Quality
3
Juicing for Health 6
Herb Gardening
21) Please check all that apply to your lifestyle.
1
Shower Filter 6
Bottled Water
2
Dehydrator 7
Juicer
3
Organic Foods 8
Sprouter
4
Indoor Air Purification 9
Bread Maker
5
Water Purifier      
22) Do you or any family members have any of the following health problems?
(Check all that apply)
1
Chemical Allergies 7
Chronic Fatigue Syndrome
2
Airborne Allergies 8
Headache
3
Food Allergies 9

Heart Disease
4
Asthma 10
High Blood Pressure
5
Arthritis 11
Cancer
6
Obesity 12
Diabetes
23) To help us understand our customers’ lifestyles, please indicate the interests and activities in which you or family members enjoy participating on a regular basis.

1    Golf
2    Bicycling
3    Physical Fitness/Exercise
4    Running/Jogging
5    Walking for Health
6    Tennis
7    Camping/Hiking
8    Fishing
9    Hunting/Shooting
10 Boating/Sailing
11 Recreational Vehicles
12 Watching Sports on TV
13 Foreign Travel
14 Travel in the USA
15 Photography
16 Real Estate Investments
17 Stock/Bond Investments
18 Houseplants
19 Herb Gardening
20 Vegetable Gardening

21 Flower Gardening
22 Health/Natural Foods
23 Dieting/Weight Control
24 Gourmet Cooking
25 Wines
26 Bible/Devotional Reading
27 Avid Book Reading
28 Self Improvement
29 Wildlife/Environmental Issue
30 Attending Cultural/Arts Events
31 Fine Art/Antiques
32 Home Workshop
33 Crafts
34 Needlework/Knitting/Sewing
35 Home Furnishing/Decorating
36 Fashion Clothing
37 Grandchildren
38 Collectibles/Collecting
39 Stereo, Records/Tapes/CDs
40 Automotive Work
Using the number in the above list, please indicate the 3 most important activities for:
You   Spouse  
1 1
2 2
3 3