Complete registration form and mail or complete on-line registration at www.desatech.com within 30 days after purchase.
Brand:
Model:
Date Purchased:
Serial Number:
First Name:
Address:
City:
Phone: (
)
-
Please answer the following questions to register your product with DESA Heating Products:
1. Who will heater be used by?
2. Will you use your heater in more than one location?
3. Where will the product be used? (You may select more than one.)
Commercial Construction
Other ______________________________ (Specify)
4.
Cost of product (excluding sales tax)? $________________________________
5.
Maintenance/service work will be performed by:
6.
If you bought this product yourself, did you plan to purchase this type of product before going into the store?
7. Type of store where product was purchased?
Farm/Ag. Supply
Auto Parts
Discount Store
HVAC Dealer
8. What is your primary source of heat?
9. What motivated you to buy this product?
Heater on Sale
Construction Project
10. How did you learn about this product brand?
Store Display
Previously Owned a Heater
11. What other brands did you consider?
John Deere
Dyna-Glo
12. Who selected the product?
13. Level of Education of Purchaser:
14. Age of Purchaser:
Under 20
15. Buyer's total annual household income:
$50,000 to $74,999
16. What is the population of your area?
100,000 to 250,000
Over 250,000
17. Store where product was purchased:
Name: ______________________________________ City: _____________________________________ State: __________
18. In choosing this product, how important were the following:
Availability
Price
Brand Name
Overall Quality
Heat Output (Btu/Hr Rating)
Variable Heat Output (Btu/Hr)
Made in USA
Warranty
Local Service
Value for Price
19. This question will allow us to better understand the demographic profile of our customers. Which of the following best describes you? (not required)
African American
Asian American
111678-01A
OWNER'S REGISTRATION FORM
(Reddy Heater, Master, Remington, etc.)
(R60, HD15, etc.)
Note: Keep receipt for warranty verification.
7 or 9 digit number located on product or identification tag.
Last Name:
State:
E-Mail:
Individual
Business
Yes
Garage
Factory
Recreation
Self
Hardware
Warehouse Club
Other _________________________________________________
Propane (LP Gas)
Sudden Cold Weather
Hard to Heat Location
Advertisement
Other _________________________________________________(Specify)
None
Master
Dura-Heat
Paulin
Coleman
Male
Female
Both
High School
Vocation/Technical School
20 - 29
30 - 39
Under $19,999
$75,000 to $99,999
$100,000 and Over
Under 10,000
10,000 to 25,000
Not
Somewhat
Very
For more information, visit www.desatech.com
For more information, visit www.desatech.com
Mexican
Puerto Rican
Zip:
No
Workshop
Barn
Residential Construction
Warehouse
Utility Shed/Outbuilding
Service Center
Other ___________________________________
Propane Dealer
Natural Gas/Utility Co.
Industrial/Contractor Supply
Natural Gas
Kerosene
Replace Older Model
Other ________________________________
Relative or Friend
Co-Worker
Remington
All-Pro
Dayton
Vogelzang American
Some College
40 - 49
50 - 59
60 or Over
$20,000 to $34,999
$35,000 to $49,999
25,000 to 50,000
Size
Prior Brand Experience
Built-In Thermostat
Ease of Operation
Special Features
Salesperson's Recommendation
Friend/Relative's Recommendation
Portability
Quiet Operation
Cuban
Other Hispanic
Country:
Yes
No
Home Center or Builder's Supply
Rental Store
Diesel
Electric
Other________________
D.I.Y. Home Project
Emergency Back-Up Heat
Store Representative
Universal
Mr. Heater
L.B. White Tradesman
Other ___________________________________
Completed College
50,000 to 100,000
Not
Somewhat
White
Other ___________________
7 7
Graduate School
Very