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		KELON USA ONLINE PRODUCT REGISTRATION
	Product Type (required) Model Number (required) Serial Number (required) First Name: Last Name: Middle Initial: Street Address: Apt. No.: City: State: Zip: Home Phone: Cell Phone: Work Phone: Date of Purchase (m/d/y): Dealer/Retailer: Did you purchase an extended service contract?: Expiration: Which of the following appliances do you plan to buy within the next year (use CTRL for multiple selections)?: Date of birth (m/d/y): Marital status: Who else lives with you (please select all that apply by holding CTRL for multiple choices)? Do you rent or own your primary residence? What is your annual household income in U.S. dollars?