Broan Canada - Door Chimes Registration Form

First Name: *
Middle Initial
Last Name *
Street *
Apt. No.
City *
Country/State *  
Zip Code *
Email *  
Age Group
Marital Status
Model Number *
Serial Number (Door Chimes)
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 Styles
Sound Volume
Sound Quality
Ease of installation
Price paid
Buying experience
How would you rate this product?
(With 1 Star being the lowest, and 5 Stars being the highest)
Which kind of Chime did you purchase?
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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