Product Registration

In order to assist us in development of other products and to enable us to contact you in the event that an important product information update is released, please complete the product registration below. Thank you for your cooperation.

**Fields marked in red are required.
1. Name and Address (required):
First Name:                              Last Name: 
Address:
City:
State/Province:                            Postal Code: 
2. Email Address (optional): 
3. Telephone Number (optional): 
4. Year of Birth (optional): 
5. Gender (optional):  Male  Female
6. Marital Status (optional):  Married   Single   Partnered
7. Model Number (required): 
8. Date of Purchase (required): 
9. Name of Store Where Purchased (required): 
10. Price Paid (required): 
11. Was this product purchased (optional):  For personal use?   As a gift?
12. What three factors most influenced your decision to purchase this product (optional): 
  Brand Reputation   Store Display   Advertising  
  Price   Friend/Relative Experience   Style/Appearance  
  Warranty   Other Quality Durability
  Product Features
13. When did you decide on this purchase? (optional): 
  Received as a gift   Before coming into the store   While in the store  
14. Did you research this product before your purchase? If yes, how? (optional): 
  On the Internet   In retail stores   Through family and friends  
15. Not including yourself, what is the age (in years) of other adults and children living in your home? (optional): 
   1: Age:    Gender: 
   2: Age:    Gender: 
   3: Age:    Gender: 
   4: Age:    Gender: 
16. What is your occupation? (optional): 
  Professional/Technical   Upper Management/Executive   Middle Management  
  Sales/Marketing   Clerical/Service Worker   Tradesman/Laborer  
  Other
17. Which group describes your annual family income? (optional): 
  Under $15,000   $15,000 - $24,999   $25,000 - $49,999  
  $50,000 - $74,999   $75,000 - $99,999   $100,000 - $149,999  
  $150,000 and over.  
18. Highest level of education completed (optional): 
  Completed High School or equivalent certificate   Completed some college  
  Completed college   Completed graduate school  
19. Are you active military or have you ever served in the military? (optional): 
   Yes   No
20. For your primary residence do you (optional):  Rent?   Own?
21. How recently did you move into your current residence? (optional): 
  Within 3 months   Within 1 year  
  Within 6 months   Have not moved in last 12 months  








SunTerrace Casual Furniture Inc.
dba US Leisure
2369 Charles R. Jonas Hwy
Stanley, NC 28164
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