Riccar : Register

Uprights

Canisters

8 Pound

Accessories

Help

	FAQ
	Contact Us
	Product Manuals
	Site Map
	Search
	Register

Home

Your answers and opinions are very important to us. Riccar will not sell any information given in this form to third parties. The supplied information will be kept private and confidential.
Please click submit 'only once' and fill in the fields marked with *

Salutation

Dr. Mr. Mrs. Ms. Miss

* First Name

* Last Name

* Address 1

Phone Number

()

Address 2

* City

* State/Province

* Zip

* E-mail Address

Country

* Confirm E-mail Address

* Date of Purchase

Dealer Name

Dealer Address

Dealer City

Dealer State/Province

Dealer Zip

Dealer Country

* Would you like to receive specials, discounts, or promotional notices?

Model Number*		Second Model Number (if second product/power nozzle was purchased)
Serial Number (on label on the back or bottom of product)		Second Serial Number (on label on the back or bottom of second product)
Price Paid (excluding tax)

What was your main reason to buy a vacuum?
Your choices for this question are:

Current Vacuum was old
Current vacuum is broken/does not work
Needed a second unit
Wanted better performance

Wanted a different kind of vacuum cleaner
Received as a gift
Weight
Other

The Main Reason is

What were the top three factors that influenced you to purchase a Riccar? (choose up to 3)
Your choices for this question are:

Power
On-board tools
Cleaning performance
Warranty
Quality made
Filtration
Attractiveness
Price
Features

Ease-of-use
Recommendation by dealer/salesman
Recommendation by family/friend
Radio ad
TV ad
Magazine ad
Special promotion
Weight
Other

First Factor
Second Factor
Third Factor

How often do you vacuum?

Please rate 1-10 (10 being the highest)

	Satisfaction with the Riccar product?
	Satisfaction with the dealer's service?
	Satisfaction with the dealer's store?

Please check how you first became aware of the Riccar product you have just purchased?

Where was this product purchased?
If you chosen Other, please specify where?

Please leave this field blank:

Year of Birth

Your marital status

Which group describes your annual household income?

Occupation:

Your profession is

Your spouse is a

For your primary residence, do you:

How many people reside in your household?

Do you have any pets?

Any suggestions for improving our products?