Warranty registration

Thank you for choosing a Unique Home Designs door or gate for your home. Please fill in the following information, detach form and return to activate your warranty coverage. We sincerely appreciate your business.

Name:
Address:
City:
State: Zip:
Phone:
e-mail:
Install Date:
Product:
Color:
Comments:

How did you discover our product?

Store display Friend/relative Store associate Previous purchase Website

Are you replacing an existing screen door?

Yes No

What is the approximate value of your home?

Under $100,000 $100,000 - $200,000 $200,000 - $300,000
$300,000 - $500,000 Over $500,000

What is your total annual household income?

$20,000 - $40,000 $40,000 - $65,000 $65,000 - $85,000 Over $85,000

Your age group?

25-35 35-45 50-65 Over 65

What is the age of your home?

Under 5 years 5-10 years 10-15 years 15-20 years Over 20 years

Number of household members:

1 2 3 4 5 or more

Main feature that led to purchase:

Style Security Material

Other


This information is used for marketing studies only.
We DO NOT sell or give out any of your personal information