printprint page 

Thank you for purchasing our product! To register your new product with us, please submit the form below.

Customer Information
Last Name
Initial
First Name
Street
City
State
Zip Code
Email address
Telephone number

 

Product Information
Date of purchase (mm/dd/yyyy) / /
Brand Purchased
UPC number
(12 digit number located on box near bar code)
You may enter up to 3 UPCs per registration.

Price Paid (excluding tax)
Name of store where purchased
Which of the following best describes this purchase? First Wearever product ever owned
An additional purchase of Wearever cookware
Replacement for other cookware brand
An addition to similar products still in use
Which factors most influenced your decision to purchase this product? (check up to three) Received as a gift
Brand reputation
Price
Store reputation
Warranty
Store circular
Magazine ad
Newspaper ad
Store display
Packaging
Friend's/Relative's recommendation
Salesperson's recommendation
Remodeled kitchen
Which features MOST influenced your decision to purchase this product? (check up to three) Handle design
Weight
Color
Exterior finish
Quality of nonstick
Cover type
Design/Style/Appearance
Dishwasher safe
Quality
Other
What specific feature would you be most interested in seeing added or improved on in the future?
What other brands did you seriously consider? Did not consider any other brands
All Clad
Analon
Baker's Secret
Bialletti
Calphalon
Chantal
Circulon
Ekco
Farberware
Good Cooks
Le Creuset
Nordic
Revere
Silverstone
T-Fal
Tramontina
Other
Would you be interested in participating in home product testing of WearEver cookware products in the future?
Would you like to receive new product updates from WearEver? (You must provide e-mail address above)

 

Additional Information
Your date of birth (mm/yyyy) /
How many children do you have living in your household?
Occupation: (check all that apply)
  Self Spouse
Professional /Technical
Upper Management / Executive
Middle Management
Sales/Marketing
Clerical/Service Worker
Tradesman/Machine Operator/Laborer
Homemaker
Retired
Student
Self Employed / Business Owner
Military
Other
Marital Status
Which group describes your annual family income?
Level of education (check highest level completed)
For your primary residence, do you: