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SunZi Products Inc.

165 Commerce Drive, Suite 102

Schaumburg, IL 60173

1-877-886-6822

www.sunziinc.com

Product Registration Form

Thank you for your purchase of a SunZi Inc. product. Please submit the following marketing information;

I. Personal Information
Email Address  
First Name  
Last Name  
Street Address
City
State
Zipcode  
Country
Telephone i.e.

II. Product Information
Create Time:
Retailer/Outlet Name & Zip Code Purchased From
Model Number
Received as a Gift
Purchased for Personal Use

III. Marketing Information
Purchase Decision (Rating 1- 5)
1. Product Quality Importance In Purchase Decision
2. Price Importance In Purchase Decision
3. Retailer Reputation Importance In Purchase Decision
4. Product Styling Importance Purchase Decision
5. Product Features Importance In Purchase Decision
Age of Purchaser or Primary User