Product Registration
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Three Important Reasons to Register Your Product Immediately!

1. Protect Your New Investment... Register your new Air Purifier for insurance purposes in case it is lost or stolen.
2. Product Safety Notification... Registering your product can help us to contact you in the unlikely event a safety notification is required under the Consumer Product Safety Act.
3. Improved Product Development... Help us continue to design products that meet your needs.

It is not necessary to submit this form in order to effectuate the limited warranty.

  1. Name & Address:  
     
    * Title Mr.    Mrs.    Ms.    Miss
    * First Name Initial * Last Name
           
    * Street Apt. No. * City
    * State/Province * Zip/Postal Code
    2.  
  2. Email Address:
    YES! I would like to receive information from Panasonic about special offers, promotions
    and new product information via e-mail
    3.  
  3. Telephone Number: ( ) -
    4.  
  4. Date of purchase: 
    5.  
  5. A) Model number: (refer to operating manual or box)

    B) Serial number: (refer to the product)
    6.  
  6. Name of store where purchased:
    City:  State:
    OR
    Website address if purchased via the Internet:
    7.  
  7. Price paid: (excluding service contract, shipping and taxes) $ .00
    8.  
  8. Did you purchase or receive an extended service contract with this product?
    Yes No
    9.  
  9. From what type of store was this product purchased?
    Received as a Gift
    Catalog Mail Order
    Catalog Showroom
    Department Store
    Electronic Superstore (Best Buy or Circuit City)
    General Merchandise Store (Sears)
    Internet     		Mass Merchandise Store (Kmart,
          Wal-Mart, Target, etc.)
    Membership Warehouse Club
          (BJ's, Costco, Sam's, etc.)
    Military PX
    TV/Appliance Store
    Other:
    10.  
  10. What was the main reason for purchasing an air purifier?
    Asthma relief
    Allergy relief
    Reduce cigarette smoke     		Remove odors
    Other:
    11.  
  11. In what room will the air purifier be used?
    Master bedroom
    Child's bedroom
    Living room     		Dining room
    Office, Den
    Other:
    12.  
  12. How large is the room (in sq. feet) where the air purifier will be used?

    width = length =
    13.  
  13. In what part of the room will the air purifier be placed?
    Center of the room
    Corner of the room     		Under window
    By doorway
    14.  
  14. What features most influenced your decision to purchase this Panasonic product? (check up to 2)
    Micro Dust Sensor
    Air Quality Monitor
    CADR
    Quiet Operation    		 Slim Design
    Timer Function
    Automatic Mode
    Interval Mode
    15.  
  15. What factors most influenced your decision to purchase this Panasonic product? (check up to 2)
    Trust in Panasonic Brand
    Price
    Quality
    Features    		 Appearance/Design
    Size
    Friend's/Relative's recommendation
    Other:
    16.  
  16. How did you first learn about this product?
    Magazine ad
    Newspaper ad
    TV ad
    Radio Ad
    Direct Mail/Catalog     		Friend's/Relative's recommendation
    Salesperson's recommendation
    In-store display
    Other:
    17.  
  17. Do you own any other air purifiers? If yes, what brand(s)
    Bionaire
    Duracraft
    Holmes
    Honeywell
    Hunter    		 Kenmore
    Panasonic
    Sunbeam
    Other:
    18.  
  18. How important is the Air Quality Monitor feature? (*for models F- P15HU2, F- P20HU1)
    Very important
    		Important
    		Not important

  19. How important is the Automatic Operation feature? (*for models F- P15HU2, F- P20HU1)
    Very important
    		Important
    		 Not important

  20. How important is the timer feature? (*for models F- P10HU1, F- P15HU1)
    Very important
    		Important
    		Not important

  21. How important is the interval mode feature? (* for models F- P10HU1, F- P15HU1)
    Very important
    		Important
    		Not important

  22. Please rate the importance of the following features for future models:
      Very important Important Not important
    Wall Bracket
    (Which would allow the product to be hung on a wall)
    Remote Control
    23.  
  23. Your date of birth:
    24.  
  24. Marital Status: Married Single
    25.  
  25. Not including yourself, what is the GENDER and AGE (in years) of children and other adults living in your household?
    No one else in household     Child under 1 year
    1.  Male   Female   Age (in yrs):
    2.  Male   Female   Age (in yrs):
    3.  Male   Female   Age (in yrs):
    4.  Male   Female   Age (in yrs):
    26.  
  26. Which group describes your annual family income?
    Under $15,000
    $15,000-$19,999
    $20,000-$29,999
    $30,000-$39,999
    $40,000-$49,999     		$50,000-$59,999
    $60,000-$74,999
    $75,000-$99,999
    $100,000-$124,999
    $125,000-$149,999     		$150,000-$174,999
    $175,000-$199,999
    $200,000-$249,999
    $250,000 & over
    27.  
  27. Which credit cards do you use regularly?
    American Express, Diners Club
    MasterCard, Visa, Discover     		Department Store, Oil Company, etc.
    Do not use credit cards
    28.  
  28. For your primary residence, do you:
    Own?     Rent?
    29.  
  29. Which of the following do you plan to do within the next 1-6 or 7-12 months?
    (select all that apply)
      1-6 Months 7-12 Months
    Get Married
    Have a Baby
    Buy a House
    Remodel a Home
    Move to a New Residence
    Buy a Personal Computer
    Buy/Lease a New Vehicle
    Buy/Lease a Used Vehicle
    30.  
  30. Please check all that apply to your household.
    Own a Compact Disc Player
    Subscribe to an Online/Internet Service
    Own an IBM or Compatible Computer     		Own an Apple/Macintosh Computer
    Own a CD-ROM
    31.  
  31. 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.
    01. Gardening
    02. Hunting/Shooting
    03. Bible/Devotional Reading
    04. Travel in USA
    05. Cruise Ship Vacations
    06. Photography
    07. Avid Book Reading
    08. Foreign Travel     		09. Home Workshop/Do-It-Yourself
    10. Our Nation’s Heritage
    11. Golf
    12. Wildlife/Environmental Issues
    13. Fishing
    14. Physical Fitness/Exercise
    15. Entering Sweepstakes
    16. Casino Gambling     		17. Dieting/Weight Control
    18. Wines
    19. Gourmet Cooking/Fine Foods
    20. Bicycling
    21. Health/Natural Foods
    22. Self-Improvement
    23. Stocks/Bonds/Mutual Funds
    24. Watching Sports on TV
    32.  
  32. Using the numbers in the above list, please indicate your 3 most important activities:
           




Your Privacy Rights

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.

Security
All data is stored in a highly secure database with state of the art backup and firewall technologies. It is not accessible to any unauthorized parties. This means that your information is kept safe, and is only disclosed to selected third parties to provide you with valuable information and special offers.

I do not want to receive coupons, mailings, or other special offers


Failure to submit this registration will not diminish your warranty rights.
If you have questions or concerns about this site, our privacy policies, data use, or wish to change your options, click here.