Steamshine™ Steam Cleaning System Registration

*Your Name:

*Your Company:

*Address:

Address 2:

*City:

*State:

*Postal Code:

*Country:

*Phone # :

Fax # :

*E-mail:

*Date of Purchase (MM-DD-YYYY):

*Purchaed From:

*Model:

*Serial # :

Please check all that apply:

Previously owned Steamshine™ product
Suberb cleaning performance
Ease of use and maintainence
Price
Energy efficiency
Low operating cost
Low maintenance cost
Trade magazine advertisement
Trade journal direct mail
Trade show
Recommendation by your teacher
Recommendation by your peer/colleague
Recommendation by your friend
The all-inclusive warranty
Other (explain below):

Additional comments:

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