Green Star JUICE EXTRACTOR - Warranty

PUT GLUE HERE TO SEAL
IMPORTANT!
GREEN STAR
®
JUICER
REGISTRATION FORM
󳢯 How did you learn of Green Star?
(Please check only one.)
® Consumer Magazine
Article
® Friend’s/Relative’s
Recommendation
® Salesperson’s
Recommendation
® Information Through
the Mail
® Other
® Received as Gift.
® Magazine Advertisement
® Newspaper Advertisement
® TV Advertisement
® Radio Advertisement
® In-store Display/
Demonstration
󳢯 What factors most influenced your decision to
purchase this juicer? (please check up to three)
® Green Star Reputation
® Style/Appearance
® Value for the Price
® Special Product Features
® Warranty
® Rebate or Sale Price
® Quality/Durability
® Consumer Magazine
Article
® Reputation of the
Dealer
® Friend’s/Relative’s
Recommendation
® Salesperson’s
Recommendation
® Other
󳢯 Primary residence:
® Own a House
® Own a Townhouse or Condominium
® Rent a House
® Rent an Apartment, Townhouse or Condominium
󳢯 Occupation:
® Homemaker
® Professional/Technical
® Upper Management/
Executive
® Middle Management
® Sales/Marketing
® Clerical or Service Worker
® Tradesman/Machine
Operator/Laborer
® Retired
® Student
® Self Employed/Business
Owner
󳢯 Annual Household Income
® Less than $15,000
® $15,000-$25,000
® $25,000-$50,000
® $50,000-$75,000
® $75,000-$100,000
® more than $100,000
󳢯 Which credit cards do you use regularly?
® American Express
® Diner’s Club
® MasterCard
® Visa
® Discover
® Department Store
® Gasoline Company, etc.
® Do not use credit cards
OPTIONAL SURVEY
PLEASE FILL OUT AND RETURN WITHIN THE NEXT IO DAYS
Please write all information legibly!
󳠉
󳠊
󳠋
® Mr. ® Mrs. ® Ms. ® Miss.
First Name
( ) -
Initial Last Name
Street
Apt. No
City State Zip
Phone
Month Day Year
E-mail Address
Date of Purchase:
Product Information
Customer Information
a. Model number: b. Color
c. Serial#
® GS-1000 ® GS- 3000 ® White ® Green
® GS-2000 ® GP-E1503 ® Off-White ® Ivory
󳠌
Dealer Information
Dealer
Address
Phone