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WARRANTY REGISTRATION
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Warranty Registration
    Customer Contact Information
       
   
Name:
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    City:
    State or Province:
    Zip or Postal Code:
    Country:
    Phone number:
    E-mail Address:
     
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Product Information
    Which ROKENBOK toy(s) was/were purchased? (Check all that apply)
  Start Sets
    Action Factory
Monorail
Power Chutes
Pump Station

 
    Building
    Action Sorter and Conveyor
Auto Center
Bridges and Roadways
Building Value Pack
Chutes and Hoppers
Chutes and Hoppers II
Construction World
Down-A-Vator


Monorail Track
Motorized Conveyor
Piston Plant
Play Table
RC Elevator
Service Center
Tower & Track
Vehicle Lift
    Vehicles
    Cargo Trailer
RC Dozer
RC Emergency Speedster
RC Loader
RC Monorail Freighter
RC Power Sweeper
RC Skip Track
RC Transgripper and Trailer
    Accessories
    Control Pad  
       
    Who purchased this toy?
    How did you first discover the ROKENBOK system?
    What type of purchase was this?
    Which features of the ROKENBOK toy most appealed to you?
    Did you receive this as a gift?
Yes (skip below to ** )
No (continue)

    What is the one main reason for this purchase?
    Price paid:
    Store where purchased?
    Purchaser is:
Male
Female
    Purchaser's age is:
   

** Primarily, for whom was this toy purchased?

    How many ROKENBOK toys do you own?
    Of these, how many did you purchase/receive in the past 12 months? (including this toy)
   

How many children 17 years or younger live in your household?

   

What are the ages of the children in your household? Please list them all. (example: boy-14, girl-7)

   

Do you have a personal computer in the home?
Yes (continue below)
No (skip below to ## )

    Do you have access to the Internet from your home computer?
Yes
No
   

##    If you have any difficulties or service issues that we can help resolve or if you have
any suggestions for improving Rokenbok toys, please list them below:

   

What other products would you like to see ROKENBOK make?

    How does ROKENBOK compare to other toys you have purchased?
   

What other construction/building toys do you own?

   

What is your annual household income (U.S.$)?

   

Please enter your Password (from Rokenbok) if you have one:

     

 

 

   

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