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.

Required Field *

Model *

Serial Number *

Date Purchased *

Purchased from *

First and Last Name *

Email *

Telephone Number *

Address *

Address 2

City *

State *

Zip Code *

Birth Month & Year

How did you find out about this product?
1. TV/Radio2. Trade/Health Show3. Salesman4. Direct Mail5. Received as a Gift6. Internet7. Magazine Ad8. Magazine Article9. Health Professional10. Friend
The factors that influenced your purchase?
1. Value for the Price2. Brand Reputation3. Prior Experience4. Received as a Gift5. Style/Appearance6. Quality/Durability7. Ease of Use8. Warranty9. Cost Savings10. Dr. Recommended11. Friend's Referral12. Health Reasons
Primary reason for this purchase? (Check only one)
1. Tap Water Quality2. Bottled Water Quality3. Expense of Bottled Water4. Inconvenience of Bottled Water5. Dr. Recommendation6. Shower Water Quality8. Health Reasons/Diet Concerns
This product will be used for?
1. Drinking2. Cooking3. 4. Coffee/Tea5. Ice Cubes6. Skin Care7. Sprouting8. Steam Iron9. Aquariums10. Pet Care11. Humidifier12. Fruit Juices13. Houseplants14. Batteries15. Baby Formula16. Fasting17. Photography
Your occupation?
1. Professional/Technical3. Management/Executive5. Sales/Marketing7. Tradesman/Laborer9. Retired11. Homemaker13. Self-employed15. Work from Home
Your spouse's occupation?
2. Professional/Technical4. Management/Executive6. Sales/Marketing8 . radesman/Laborer10. Retired12. Homemaker14. Self-employed16. Work from Home
Which describes you annual family income?
1. Under $15,0002. $15,000 - $29,9993. $30,000 - $49,9994. $50,000 - $74,9995. $75,000 - $99,9996. $100,000 +