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REGISTER
YOUR PRODUCT
We will keep the model
number, serial number,
and date of purchase of
your Graco product on
file.
RECEIVE FUTURE
INFORMATION
By returning this card, you
will help us to notify you
of any issues concerning
this product.
HELP US DEVELOP
NEW PRODUCTS
We value your input.
Your responses will help
us develop new products
specifically designed to
meet your needs.
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Return this card today to:
Thank you for your purchase of a Graco
product. Your input regarding this
product is very important to us.
1.o Mr. 2.o Mrs. 3.o Ms. 4. o Miss
Date of Purchase:
Education (Please check which category applies):
1.
o High School 3. o Completed College
2. o Some College 4. o Graduate School
How did you first hear about this Graco product?
1.
o Word of Mouth 5.o Store Flyer
2. o Salesperson 6.o Catalog
3. o In-Store Display 7. o Other
4. o Magazine Ad
What other brands did you consider?
1.
o Graco was the only brand considered
2. o Century 6. o Fisher Price
3. o Combi 7.o Gerry
4. o Cosco 8. o Other______________________________________________________
5. o Evenflo
Which best describes your family income?
1.
o Under $15,000 5. o $50,000-$74,999
2. o $15,000-$24,999 6.o $75,000-$100,000
3. o $25,000-$34,999 7.o $100,000-$149,999
4. o $35,000-$49,999 8.o Over $150,000
Babys
date of birth:
(or due date)
In the last 6 months have you or your spouse:
1.
o Purchased clothes through the mail?
2. o Purchased gifts through the mail?
3. o Worked in your garden?
4. o Traveled on vacation?
5. o Purchased through television shopping?
6. o Purchased two or more books?
7. o Purchased cassettes or CDs?
8. o Donated to wildlife / environmental causes?
9. o Donated to charities?
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Thanks for taking time to fill out this questionnaire. Please check here [ ] if you do not wish to learn more about Graco or obtain
information on new ideas from other exciting companies.
First Name:
Initial: Last Name:
Address: (Number and Street)
City:
State:
Apt. #:
Zip Code:
Phone #:
Month Day Year
Male:
Including yourself
, what is the total number of people
living in your household?
Age (in years)
(Examples: 01, 02, 03, 04...)
NOT including yourself
, what are the AGES of the
other
people living in your household?
Female:
Record Model Number and Serial Number:
(These can be found on the white label on the product)
Was this purchase a:
1.
o Gift? 2. o Self purchase?
I am a:
1.
o Parent 2. o Grandparent
Store Name:
Model Number
Is this your first child?
1.
o Ye s 2. o No
This child is:
1.
o Male 2. o Female
Have you purchased Graco products before?
1. o Yes 2 . o No
In what trimester was your purchasing
decision made?
1.
o 1st 2.o 2nd 3. o 3rd
Date of Your birth:
Check the three (3) most important reasons
why you purchased this Graco product:
1. o Received as a Gift
2. o Fabric Design / Appearance
3. o Frame Design / Style
4. o Graco Reputation
5. o Recommendation of Salesperson
6. o Recommendation of Friend / Family
7. o Value for Price
8. o Magazine Advertisement
9. o Ease of Operation
10. o Light Weight
11. o Product Features
12. o Sale / Promotion
13. o Prior Experience with Graco
Where do you and your family do most of your shopping?
1.
o Shopping Mall
2. o Discount Store
3. o Specialty Store
For your primary residence, do you:
1.
o Own? 2. o Rent?
Your marital status:
1.
o Married 2.o Single
IMPORTANT! Product Registration Card IMPORTANT!
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Serial Number
#
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$
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*
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BN
BT
BU
BS
BR
BQ
BO
BP
CL
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CN
CO
CP
Month Day Year
Month Day Year