solostar juicers

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© 2002-2004
Tribest Corporation
http://www.tribest.com
(888) 254-7336
(U.S. toll-free)

(562) 623-7150
(Outside the U.S.)

Registration Information

Title:
First Name:
Middle Initial:
Last Name:
Street Address:
City:
State:
Zip:
Phone:
E-mail:
Model Number:
Serial Number:
Date of Purchase: / /20


Dealer Information

Name of Dealer:
Address:
Phone:

Optional Survey

How did you first become aware of the SoloStar Juicer?

What factors most influenced your decision to purchase the SoloStar Juicer?

For your primary residence, do you:

Occupation?

Which group describes your annual family income?

Which credit cards do you use regularly?


Do you have internet service?
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Have you ever purchased any products through online stores?
Yes No

Do you use email in your business communication?
Yes No

Do you use email in your personal communication?
Yes No

Do you regularly purchase items through the mail?
Yes No

Is there a military veteran in household?
Yes No

Are you a member of frequent flyer programs?
Yes No

Do you support health charities?
Yes No

Do you subscribe to cable TV?
Yes No

Do you use a personal computer?
Yes No

Do you have a microwave oven?
Yes No

Do you have a CD player?
Yes No

Do you have a VCR?
Yes No

Do you have a pet?
Yes No

Thanks for taking the time to fill out this questionnaire. Your answer will be used for market research studies and reports and will help us better serve your needs in the future. They will also allow you to receive important mailings and special offers from a number of fine companies whose products and services relate directly to the information indicated above.


Please mark yes or no here if you do not wish to participate in this opportunity.
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