Use the form below to register your Storm Door Warranty. * Asterisks indicate required fields. Personal Information Salutation Choose Ms. Mrs. Mr. First Name * Last Name * Age Choose 18 - 24 25 - 30 31 - 45 46 - 64 65 + Address * City * State/Province * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY Canada AB BC MB NB NF NT NS NU ON PE QC SK YT ZIP/PostalCode * Country Choose United States Canada Phone * E-mail * Product Information Serial Number * (Located on Hinge) Date Purchased (MM/DD/YYYY) 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Store Address City State/Province AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY Canada AB BC MB NB NF NT NS NU ON PE QC SK YT ZIP/PostalCode Country Choose United States Canada Additional Information 1. How did you become aware of the EMCO Storm and Screen Doors? (Please select all answers that apply) Store flyer Radio ad Billboard Newspaper ad Friend Magazine Store TV In-store display Mail Other:   2. For which entry was the door purchased? (Please choose one) Choose Front Back Side Other ---> (Enter Other Choice Here) 3. Why did you purchase Storm & Screen Door? (Please choose one) Choose New home didn't have Storm & Screen Door Remodeling, wanted new style Replacing an old or ineffective door 4. Who decided a storm door was needed? (Please choose one) Choose Male Female Joint decision 5. Who made the actual purchase? (Please choose one) Choose Male Female Home builder / Contractor 6. Why did you choose the store you did to purchase the door? (Please select all answers that apply) Location Display Selection Installation Program Service Other:   7. Which did you consider most important in choosing this door? Appearance Insulation Durability Security Price Terms / Financing Warranty Inner-door protection Convenience Features Other:   8. Who installed the door? (Please choose one) Retailer Contractor Self-installation Other ---> (Enter Other Choice Here) 9. How smoothly did the installation go? (Please choose one) Choose Very smooth Smooth Difficult 10. Would an installation video have made installation easier? (Please choose one) Choose Yes No Unsure 11. How many entries at your home require storm doors? (Please choose one) Choose One Two Three Four or more 12. Do you anticipate purchasing another door within: (Please choose one) Choose 30 Days 90 Days Six monthsOne year or more No future purchases planned 13. What style home do you have? (Please choose one) Choose Split level Cape Cod Colonial Victorian Ranch Tudor Contemporary Condo Other ---> (Enter Other Choice Here) 14. I would like more information sent to me about: (Please choose one) Choose Sidelights Storm Doors Accessories Please record any comments: