103386-01G99For more information, visit www.desatech.comFor more information, visit www.desatech.com1. Who will heater be used by? ❍ Individual ❍ Business2. Will you use your heater in more than one location? ❍ Yes ❍ No3. Where will the product be used? (You may select more than one.) ❍ Workshop ❍ Barn ❍ Residential Construction❍ Commercial Construction ❍ Garage ❍ Factory ❍ Recreation ❍ Warehouse ❍ Utility Shed/Outbuilding❍ Other ______________________________ (Specify)4. Cost of product (excluding sales tax)? $________________________________5. Maintenance/service work will be performed by: ❍ Self ❍ Service Center ❍ Other ___________________________________6. If you bought this product yourself, did you plan to purchase this type of product before going into the store? ❍ Yes ❍ No7. Type of store where product was purchased? ❍ Hardware ❍ Propane Dealer ❍ Natural Gas/Utility Co. ❍ Home Center or Builder's Supply❍ Farm/Ag. Supply ❍ Auto Parts ❍ Warehouse Club ❍ Industrial/Contractor Supply ❍ Rental Store❍ Discount Store ❍ HVAC Dealer ❍ Other _________________________________________________8. What is your primary source of heat? ❍ Propane (LP Gas) ❍ Natural Gas ❍ Kerosene ❍ Diesel ❍ Electric ❍ Other________________9. What motivated you to buy this product? ❍ Sudden Cold Weather ❍ Replace Older Model ❍ D.I.Y. Home Project ❍ Emergency Back-Up Heat❍ Heater on Sale ❍ Construction Project ❍ Hard to Heat Location ❍ Other ________________________________10. How did you learn about this product brand? ❍ Advertisement ❍ Relative or Friend ❍ Co-Worker ❍ Store Representative❍ Store Display ❍ Previously Owned a Heater ❍ Other _________________________________________________(Specify)11. What other brands did you consider? ❍ None ❍ Master ❍ Remington ❍ All-Pro ❍ Dayton ❍ Universal ❍ Mr. Heater ❍ L.B. White Tradesman❍ John Deere ❍ Dyna-Glo ❍ Dura-Heat ❍ Paulin ❍ Coleman ❍ Vogelzang American ❍ Other ___________________________________12. Who selected the product? ❍ Male ❍ Female ❍ Both13. Level of Education of Purchaser: ❍ High School ❍ Vocation/Technical School ❍ Some College ❍ Completed College ❍ Graduate School14. Age of Purchaser: ❍ Under 20 ❍ 20 - 29 ❍ 30 - 39 ❍ 40 - 49 ❍ 50 - 59 ❍ 60 or Over15. Buyer's total annual household income: ❍ Under $19,999 ❍ $20,000 to $34,999 ❍ $35,000 to $49,999❍ $50,000 to $74,999 ❍ $75,000 to $99,999 ❍ $100,000 and Over16. What is the population of your area? ❍ Under 10,000 ❍ 10,000 to 25,000 ❍ 25,000 to 50,000 ❍ 50,000 to 100,000❍ 100,000 to 250,000 ❍ Over 250,00017. Store where product was purchased:Name: ______________________________________ City: _____________________________________ State: __________18. In choosing this product, how important were the following:AvailabilityPriceBrand NameOverall QualityHeat Output (Btu/Hr Rating)Variable Heat Output (Btu/Hr)Made in USAWarrantyLocal ServiceValue for Price19. This question will allow us to better understand the demographic profile of our customers. Which of the following best describes you? (not required)❍ African American ❍ Asian American ❍ Mexican ❍ Puerto Rican ❍ Cuban ❍ Other Hispanic ❍ White ❍ Other ___________________Brand: (Reddy Heater, Master, Remington, etc.)Model: (R60, HD15, etc.)Date Purchased:Note: Keep receipt for warranty verification.Serial Number: 7 or 9 digit number located on product or identification tag.First Name: Last Name:Address:City: State: Zip: Country:Phone: ( ) - E-Mail:OWNER'S REGISTRATION FORMPlease answer the following questions to register your product with DESA International:Complete registration form and mail or complete on-line registration at www.desatech.com within 30 days after purchase.Not Somewhat Very❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍Not Somewhat Very❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍❍SizePrior Brand ExperienceBuilt-In ThermostatEase of OperationSpecial FeaturesSalesperson's RecommendationFriend/Relative's RecommendationPortabilityQuiet Operation