Auto Trim DESIGN

WARRANTY REGISTRATION

Congratulations on your purchase of Auto Trim DESIGN products and/or services! To initiate warranty coverage, simply complete the Registration Form below and submit. Upon receipt of your information, an Autoresponder will e-mail a form with a Warranty Registration number for you to use in the event of a warranty claim.

We "Thank You" for your purchase and look forward to serving your future needs!

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone (000)000-0000
FAX (000)000-0000
E-mail

 

Vehicle I.D. #

Last eight (8) digits only

Vehicle Make
Vehicle Model
Year

 

Product(s) Purchased

 Please select all that apply

(Ctrl+Select [IBM]) (OpenApple+Select [Apple])

To better serve you in the future, we ask that you provide us with the following information. Thank You!

Age Group

16-18      19-25      26-35      36-45   46-55      56-65      65 & Older

Gender     Male     Female
Marital Status     Single     Married     Divorced
Income Range

$20-30,000 $31-45,000 $46-60,000 $61-75,000 $76-90,000 $91,000 & Above

Where did you hear about Auto Trim DESIGN?

Friend/Workmate Auto Dealer Auto Supply Store Radio Ad Print Ad TV Ad Yellow Pages Internet Drive By Other

Why did you buy from Auto Trim DESIGN?

Convenience Price Availability Warranty
Product Quality Service Quality Variety
Sales Experience

Please rate our product(s)

Excellent Very Good Good Satisfactory Poor

Please rate our service

Excellent Very Good Good Satisfactory Poor

Would you use Auto Trim DESIGN again?     Yes     No
Would you refer us to a friend?     Yes     No

That's It!   If you're finished, simply press the "Submit" button.

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