Online Product Registration

Valued Customer:

We continually strive to offer the best products and the highest level of service. To this end, we ask that you register your purchase with us so we may gain a better understanding of how we can improve our products and services for the future. Please fill out the information below and submit the form. We appreciate your business and hope you enjoy your healthier indoor air environment!

Fields marked with an asterisk* are required!
Model number*
 Serial number*
First name*
Initial
 Last name*
Address*
 Apt. #
City*
 State*
 Zip code/Postal code*
Phone number*
 Purchase price*
E-mail address*
Date of Purchase*
   Store name*
INSTALLER INFORMATION
Company name
Installer's name
 Phone number
Address
 P.O. Box number
City
   State
 Zip code/Postal code
How did you first learn of the Ultravation® product just purchased?   How satisfied are you with your purchase?
1. TV commercial
 6. Mailing to your home
   1. Very satisfied
 3. Somewhat satisfied
2. Magazine advertisement 7. Newspaper advertisement   2. Satisfied 4. Not satisfied
3. Store display 8. Previous experience with Ultravation®   Comments
4. Friend’s/Relative’s
recommendation		 9. other
 
5. Salesperson’s
recommendation		  
What are your top 3 reasons for purchasing this product?   Do you own any other air treatment equipment?
1. Performance
 8. Previous experience   1. Humidifier 3. HEPA filter
2. Value for the price 9. In-store display   2. Electric filter 4. other
3. Advertising 10. Quality
   What is the approximate square footage of your home/office?
4. Item on sale 11. Brand   1. 1,000 sq. ft. or less 3. 2,000 sq. ft.
5. Warranty 12. Features   2. 1,500 sq. ft. 4. 3,000 sq. ft. or more
6. Style/Appearance 13. other
  How long have you lived in your home?
7. Recommendation     1. 0 - 6 months

 4. 2 - 3 years
What are the most important benefits this product will provide?   2. 6 months to 1 year 5. 3 - 5 years
1. Allergy reduction 6. Bacteria/virus reduction   3. 1 - 2 years 6. Over 5 years
2. Protect my family’s health 7. Keep my HVAC system free from mold/mildew   What is the age of your home?
3. Improve my home’s air quality 8. Allow my HVAC system to run more efficiently   1. 0 - 6 years 4. 16 - 25 years
4. Mold/mildew reduction 9. other
  2. 6 - 10 years 5. 26 - 35 years
5. Remove bad odors     3. 11 - 15 years 6. Over 35 years
How long did you shop for this purchase?   Including yourself, what is the total number of people living in your household?
1. Impulse 4. 4-6 days  
Adults
Children
2. One day 5. One week  
3. 2-3 days 6. Several weeks   For your primary residence, do you:
Where do you plan to use this product?   1. Own 2. Rent
1. Home 2. Office      
3. other
       
How long did it take to have this product installed?      
1. Less than 30 minutes 3. 45-60 minutes      
2. 30-45 minutes 4. More than 60 minutes  



Thank you for your time!

 

 

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Ultravation

P.O. Box 234, 218 Jones Drive, Brandon, VT 05733 USA
Toll Free: 1-866-468-8247 info@ultravation.com

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