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Company/Organization Last Name* Product Registration First Name* Middle Initial Street Address* Address continued City* State* ZIP Code* Country* Daytime Phone* Alternate Phone Fax Email* Confirm Email* Please retain a copy of your receipt or proof of purchase in a safe location for future warranty verification. Customer Information (required will have *): Product Information (*all fields required): Model * Serial Number * Purchase Date(mm/dd/yyyy)* Place of Purchase * Survey Questions This information is for our market research only and will not be given to any other companies. What is your age? Less than 25 years old 25-45 years old 46-65 years old more than 65years old What is your occupation? What is your household income? Below $35,000 a year $35,000 to $70,000 a year $70,000 to $100,000 a year above $100,000 a year How many dogs do you own? 1 2 3 4 or more What is the age of your dog(s)? Please select all that apply. Less than 6 months old 6 months to 2 years old 2 years to 6 years old more than 6 years old What breed is your dog(s)? Are you using a professional trainer? Yes No Have not decided If yes, name of trainer and facilities: How will this product be used? Please select all that apply. Basic obedience training Hunting Field trial training Police/military training Rescue training Communicating with deaf dog Other Have you owned an e-collar before? Yes No If yes, what brand did you own? How did you hear about this product? Please select all that apply. Magazine ad Television ad Internet search DT website Retail store Professional trainer Special event Other Why did you choose DT Systems? Please choose all that apply. Reputation Durability/reliability Features Price/value Recommendation Customer service Warranty Other




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