Please answer each question as requested.

To initiate warranty, completion of this registration is required within 45 days of receipt.

By completion of this registration, customer agrees to the included warranty provisions.
  (click here for warranty provisions)

CM #:	(if known)
Name
Address:
City:		State:		Zip:
Phone:
Email
1. Which ClearMirror product(s) did you purchase? (check all that apply)
	NewHome ClearMirror™ Shower ClearMirror™ Club ClearMirror™ Service ClearMirror™ MystFree ClearMirror™
2. How did you hear about ClearMirror products? (Check all that apply)
	Magazines - please list:  Internet Friend, neighbor or relative Builder's design center Home improvement television show Home improvement trade show Direct mail Mirror or bath fixture company Other - Please list
3. For which location(s) of your home did you buy one to install? (Check all that apply)
	Owner's bath Main bath Guest bath Basement bath Other - please list
4. What features do you like best about ClearMirror? (check best two)
	Reliable Good value Easy to install Clearing time Affordable Quality Safe Economical (energy usage) Other - please list
5. What features do you like least about ClearMirror? (Please List)
6. How would you describe your household's remodeling skills ? (select the one that most applies)
	We are "do-it-yourselfers" We prefer to hire people to work on our house
7. How did  you get your ClearMirror? (Select One)
	Builder installed Small hardware store Internet Home improvement trade show Direct order Mirror or bath fixture company Home improvement center Independent contractor Other - Please list
8. What is the approximate value of your home? (check one - 000's omitted)
	$1 - $125                   $276 - $325 $126 - $175               $326 - $400 $176 - $220               $401 - $500 $221 - $275               $501 - $750 Over $750
9. How likely are you to recommend a ClearMirror? (Select the one that most applies)
	Very likely to recommend Likely to recommend Not very likely to recommend Would not recommend  ( Please contact me to discuss: )
Please click on SUBMIT button below - or click reset to clear all choices and start again. Thank you for taking the time to complete this warranty registration.

---