Product Registration
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Three Important Reasons to Register Your Product Immediately!

1. Protect Your New Investment... Register your new Vacuum Cleaner 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. Model number: (refer to operating manual or box) MC–
    6.  
  6. Serial number: (refer to the product)
    7.  
  7. Name of store where purchased:
    8.  
  8. Price paid: (excluding service contract, shipping and taxes) $ .00
    9.  
  9. Did you purchase or receive an extended service contract with this product?
    Yes No
    10.  
  10. Why did you purchase a new vacuum?
    Received as a gift
    To replace a broken unit
    To upgrade to a new model     		Wanted/needed a second unit
    Moved into a new house
    Installed new carpeting
    11.  
  11. From what type of store was this product purchased?
    Received as a gift
    Vacuum cleaner center/shop
    General merchandise store (Sears, etc.)
    Department store
    TV/Appliance store
    Mass merchandise store (Kmart, Wal-Mart,
           Target, etc.)
    Electronic superstore (Circuit City, Best
           Buy, etc.)         		Catalog showroom
    Membership warehouse club (Costco,
           Sam's, BJ's, etc.)
    Catalog mail order
    Furniture store
    Military PX
    Internet
    Other:
    12.  
  12. How did you first learn of this product?
    Magazine ad
    Newspaper ad
    TV ad
    Radio ad
    Direct mail catalog or offer     		Friend's/Relative's recommendation
    Salesperson's recommendation
    In-store display
    In-store catalog
    Other:
    13.  
  13. What other brands did you seriously consider before selecting this Panasonic product?
    (check all that apply)
    None
    Bissell
    Black & Decker
    Electrolux
    Eureka
    Hoover
    Iona
    Kenmore
    Kirby
    Miele
    Oreck     		Rainbow
    Regina
    Riccar
    Royal
    Sanyo
    Sharp
    Shop Vac
    Simplicity
    Singer
    Other:
    14.  
  14. What factors most influenced your selection of this product? (check up to 3 )
    Trust in Panasonic
    Price
    Quality
    Features
    Appearance/Design
    Ease of Operation     		Size
    Warranty/Service
    Friend's/Relative's recommendation
    Salesperson's recommendation
    Other:
    15.  
  15. What features most influenced your selection of this model? (check up to 5)
    Air power
    Motor power (amps)
    Efficient motor
    Agitator width
    Metal agitator
    Automatic carpet height adjustment
    Light weight
    Swivel hose
    Attachments/Tools on Board
    Headlight
    Power cord length
    Cord reel     		Edge cleaning
    Rug/Floor selector
    Filtration system
    Vacuum gauge
    Metal handle
    Pedal/Handle release
    Metal bottom plate
    Motor Protection system (By-pass System)
    Attractive color
    Dirt Sensor
    Low Noise
    Other:
    16.  
  16. How often do you vacuum?
    Every day
    Every other day
    Twice a week
    Once a week     		Once every 2 weeks
    Once every 3 weeks
    Once a month
    17.  
  17. What is the one most important feature to you in a vacuum?
    High amps
    Low noise
    Built in tools
    Auto height adjustment     		Color/Style
    Edge cleaning
    Filtration
    Other:
    18.  
  18. Your date of birth:
    19.  
  19. Marital Status: Married Single
    20.  
  20. 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
    21.  
  21. 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
    22.  
  22. 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
    23.  
  23. 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):
    24.  
  24. Which credit cards do you use regularly?
    American Express, Diners Club
    MasterCard, Visa, Discover     		Department Store, Oil Company, etc.
    Do not use credit cards
    25.  
  25. For your primary residence, do you:
    Own?     Rent?
    26.  
  26. 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
    27.  
  27. 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.