THE WORLD'S NO.1 TV BED

Warranty Form

IMPORTANT: DO NOT INTERFERE, ADD OR REMOVE ANY CABLES FROM THE BACK OF THE TV. DOING SO WILL INVALIDATE YOUR WARRANTY.
IF IN DOUBT CONTACT TV BED LTD AND ASK FOR THE CABLING DEPARTMENT.

Items marked with * are mandatory fields.
1. Name & Address:
*Title
* First
Initial
* Last
*Street
*City
*Postal Code
E-mail
 
2. Telephone number:
 
3. *Date of purchase:
 
4. *Serial number: (of your TV)
 
5. Name of store where purchased:
City:
 
6. Did you purchase or receive an extended service contract with your product?
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7. Is this product:
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8. A. Did your a salesperson demonstrate the product?
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B. If yes, how would you rate the salesperson's knowledge of the product?
(1 = Not at all knowledgeable, 5 = Very knowledgeable)
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9. What were the most important factors that influenced your selection of this product? (check up to 2 responses)
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10. What features most influenced your selection of this model? (check up to 2 responses)
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11. Your date of birth:
 
12. Marital Status:
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13. Not including yourself, what is the GENDER and AGE (in years) of children and other adults living in your household?
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1.
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Age (in yrs):
2.
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Age (in yrs):
3.
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Age (in yrs):
4.
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Age (in yrs):
 
14. For your primary residence, do you:
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There are five standard colours. Chocolate Brown, Black, Parchment, Cognac and Ivory

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