Product Registration

 Please review the errors below: (Questions with errors are marked with "X")
Required fields are indicated with *
  1. Name & Address:  
     
    Title
       First     Initial     Last 
    Street
       Apt 
    City
       State/Prov    
    Zip/Postal
       E-mail 
    Phone  ( ) -
  2. Your date of birth:
  3. Marital status: Married Single
  4. Product information about your canoe or kayak:
    Product name:
    Model number:   OR Serial number:
  5. Name of store where purchased:
  6. Date of purchase: 
  7. Price paid (excluding sales tax): $ .00
  8. What are the most important factors influencing the purchase of your
    Old Town product?
    (check up to three)
    Received as a gift
    Style/Appearance/Design
    Quality
    Size and weight
    Ease of use
    On sale/Sale price
    Recommended by friend
    Recommended by salesperson
    Recommendation of instructor/
           Product expert
    Store display
    Special features of product
    Warranty
    Have previously owned/Rented Old Town
           before buying

    Value for price
    Saw product in use/Demonstration
    Catalog
    Magazine/TV advertisement
    Internet/Website
  9. Excluding this purchase, what other products do you currently own or intend
    to purchase?
      Currently Own Plan to Purchase
    Backpack
    Daypack
    Family Tent
    Backpack Tent
    Scuba Equipment
    Snorkel Equipment
    Battery Charger
    Deep Cycle Battery
    Travel Pack
    Kayak
    Canoe
    Electric Fishing/Trolling Motor
    Compass
    Sleeping Bag
    Sailboat
    Deck/Pontoon Boat
    Large Fishing/Power Boat (Over 12 ft.)
    Small Boat (Under 12 ft.)
    Inflatable Boat
    Pedal Boat
  10. Which best describes the type of store where you purchased this product?
  11. What other brands did you consider before making this purchase? (check up to three)
    Did not consider any
           other brands

    Alumna Craft
    Aquabound
    Bell
    Bending Branches
    Carlisle
    Cobra
    Coleman
    Current Designs
    Dagger
    Dimension
    Eddyline
    ExtraSport
    Feathercraft
    Future Beach
    Grumman
    Harmony
    Hobie
    KL Industries
    Kokatat
    Liquid Logic
    Lotus Designs
    Mad River
    Necky
    Nigel Dennis
    Northwest
    Ocean Kayak
    Old Town
    Pelican
    Perception
    Prijon
    Rogue River
    Sawyer
    Stohlquist
    Voyager
    Water Wheeler
    Wenonah
    Werner
    Wilderness Systems
    Other
  12. How did you locate this Old Town dealer/retailer? (check all that apply)
    Dealer/Retailer ad
    Old Town dealer listing
    Previous experience with Dealer/Retailer
    Friend's recommendation
    Yellow Pages
    Newspaper/Magazine ad
    Internet/Website
    Factory referral
    Other
  13. Which of the following sports/recreation/fitness activities do you
    participate in?
    (check all that apply)
    Cross-country/Nordic skiing
    Snowboarding
    Telemark skiing
    Snowshoeing
    Backpacking/Hiking
    Climbing
    In-line skating
    Rafting
    Kayaking/Canoeing
    Scuba diving
    Water skiing/Wake boarding
    Bowling
    Attend sporting events
    Video/Computer games
    Workout in gym
    Martial arts
    Swimming
    Team sports
    Personal watercraft
    ATV
    Motorcycling
    Snowmobiling
  14. Are there others living in your household? Yes No  
  15. Occupation/Employment Status: (check all that apply)
      You Spouse   You Spouse
    Professional/Technical Healthcare - Physician/Nurse/Other
    Upper Management/Executive Homemaker
    Middle Management Military
    Sales/Marketing Retired
    Clerical/Service Worker Self Employed/Business Owner
    Tradesman/Machine Op./Laborer Work from Home Office
    Teacher/Educator  
  16. Which group describes your annual family income?
  17. Level of education:
  18. For your primary residence, do you:  Own  Rent
  19. What type of internet access do you use at home?
  20. Please indicate the items that you or someone in your household own.  
    Plasma/LCD TV
    High Def Enabled TV
    Digital Video Recorder
    Game System
    Satellite Radio
    Wireless Internet
    Home Theater
    Wireless Email Device
    GPS
    MP3 Player
    Digital Camera
  21. When new products that have the latest technologies appear on the market,
    do you or someone in your household:

     
    Tend to buy such items as soon as they are available?
    Tend to wait until the item has been around for a while before buying?
  22. To help us understand our customers’ lifestyles, please indicate the interests and activities in which you or your spouse enjoy participating on a regular basis.
     
    Home Life
    Grandchildren
    Home Improvement/Do-It-Yourself
    Gardening
    Own a Dog
    Own a Cat

    Leisure
    Cultural/Art Events
    Avid Book Reading
    Bible/Devotional Reading
    Gourmet Cooking/Fine Foods
    Wines
    Art/Antique Collecting
    Stamp/Coin Collecting
    Crafts
    Sewing/Needlework/Knitting

    Travel
    Airline Club/Frequent Flyer
    Travel in USA
    Foreign Travel
    Cruise Ship Vacations
    RV Vacations
    Casino Gambling
    Investing and Money
    Shopping by Catalog/Mail Order
    Shopping by Internet
    Use Credit Cards Regularly
    Donate to Charitable Causes
    Investments/Money Making Opportunities
    Contests/Sweepstakes

    Great Outdoors
    Hunting/Shooting
    Fishing
    Camping/Hiking
    Wildlife/Environmental Issues
    Boating/Sailing

    Sports, Fitness & Health
    Physical Fitness/Exercise
    Walking for Health
    Health/Natural Foods
    Dieting/Weight Control
    Self-Improvement
    Golf
    Biking
    Snowboarding/Snow skiing
    NASCAR
    


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This statement discloses the privacy practices of this Product Registration website. We believe you should know:

1. What information this site gathers about you
2. What this site does with the information it tracks
3. With whom this site shares the information it gathers

We collect personal information about our users only during product registration. We do not use cookie technology to track your movements.

We respect your right to privacy. As part of the entry process, we give you the opportunity to decline to receive any communications from other parties to whom we may provide such information.

The data we collect is used in the aggregate to give us demographic information about the entire audience registering their products. We use this to understand that audience and to improve our offerings to you, our customers.

The personal information you provide - name, address, etc. - allows us to inform you of additional special offers which may be forthcoming, and to send you coupons, or notify you of products and services of our affiliates that relate directly to your specific interests, hobbies or other information you have given.

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