Product Registration Form

Product Registration Form

Date of Purchase

Item no.

Your Email (required)

First Name (required)

Last Name (required)



Where did you Purchased?

Serial no.(if Applicable)

Will you please check the age category that applies to you?
 up to 35 36-49 50-64 65 or better

How did you learn about Arshia?
 retail store search engine advertisement other

Please check the three most important reasons for choosing this product:
 warranty quality design brand/reputation price/value recommendation advertisement

Would you like to receive information about Arshia products in the future?
 Yes No

Did you own Arshia products before this purchase or gift?
 Yes No

Do you have any suggestions for us, such as new products you'd like to see, changes to features, or anything else?

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