Product Warranty Registration Form

Name and Address

First Name:

Surname:

Street:

Suburb:

Postal / Zip Code:

City:

State:

Country:

USA Canada

Contact Details

Email:

Phone:

Fax:

Purchase Details

Date of purchase:

Shop / Store Name:

Shop / Store Location

Family Details

Your Age:

Under 25 25 - 34 35 - 40 40+

Number of chlidren:

Youngest Child:

Feedback

How did you hear about phil&teds?

On a scale of 1 - 10, how likely is it that you will recommend phil&teds products to family, friends or colleagues.

What is your next purchase likely to be:

What do you like about your product:

What would you do to improve it?

Newsletter

I agree that the information gathered here may be used to advise me of other phil&teds products & businesses.

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The Information on this registration form is collected by phil&teds USA Inc. for warranty claim certification, after sales service & market research purposes. I understand I have the right of access to and correction of this information.