Broan Canada - Bath / Ventilation Fans Registration Form

First Name: *
Last Name *
Street *
Apt. No.
City *
Country/State *  
  Postal Code *
Email *  
Age Group
Marital Status
Model Number *
Serial Number (bath / ventilation fans)
Name of store where purchased
This product was purchased

How did you learn about this product?

Which product brands did you consider? (select all that apply)

Who installed this product?
How satisfied are you with:
Selection of Models
Buying experience
Price paid
Ease of installation
How would you rate this product?
(With 1 Star being the lowest, and 5 Stars being the highest)
Where did you install this fan?

What factors persuaded you to purchase this product?

Which group describes your annual family income?
Level of education: (check highest level completed)
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