PRODUCT REGISTRATION
	The Schawbel Corporation does not disclose customer information to outside sources. Fields with an * are required. *Product: Please Select a Product ______________________________________ ThermaCELL Mosquito Repellent Appliances (select one below):        MR-1    Grey        MR-G   Olive        MR-F    Woodlands Camo        MR-T    REALTREE Hardwoods Green        MR-1B  Mini Appliance ______________________________________ ThermaCELL Mosquito Repellent Lanterns (select one below):        MR-9      Lantern        MR-9M  Mood Lantern        MR-9B   Mini Lantern *Purchase Date:   *Store Where Purchased:   *Name:   *Address:   *City:   *State:   *Zip:   *Phone:   *Email:   Gender: (select one)   male   female User Rating: On a scale of 1-10 with 10  being "most satisfied"     1 2 3 4 5 6 7 8 9 10 Which product feature(s) is the most important? rank each on a scale of 1-10  with 10 being "most important"   1 2 3 4 5 6 7 8 9 10 Effectiveness 1 2 3 4 5 6 7 8 9 10 Cost 1 2 3 4 5 6 7 8 9 10 Size 1 2 3 4 5 6 7 8 9 10 Portability 1 2 3 4 5 6 7 8 9 10 Safe - no open flame 1 2 3 4 5 6 7 8 9 10 EPA Approved   Where used: please check all that apply   In my backyard On my porch/deck Gardening Picnicking Hunting Camping Fishing Other:      How often:   Every Day 2-3 Times Per Week Once a Week Once a Month Where did you learn about the product?     TV Ad Friend or Relative Magazine Store Display Radio Other What Show: What Magazine: Please Explain:   Comments and Suggestions?