Mail completed form today or register on-line at www.mosquitomagnet.com
First Name Last Name
Address City
S t a t e / P r o v i n c e Zip Code C o u n t r y
Phone Number Email Address
1 . How did you find out about the Mosquito Magnet (check all that apply)?
Radio Ad Direct Mail TV Ad
F r i e n d / F a m i l y We b s i t e Magazine Ad
Newspaper Ad News Article (newspaper, magazine, TV, etc.)
F r o n t g a t e In-Store Display O t h e r
2 . In your household who decided to purchase the Mosquito Magnet?
M a l e F e m a l e B o t h
3 . What is your marital status?
M a r r i e d S i n g l e
4 . Are there any children in your household?
Ye s N o
5 . What are the two most important reasons influencing this purchase?
Protection from mosquitoes that may transmit disease
Science/technology behind product
Recommendation of friend/family member
Recommendation of salesperson
Reputation of quality
C o m f o r t
Received as gift
O t h e r
6 . What is your age?
25 – 35 36 – 45 46 – 55 56 – 70 70+
7 . What is your level of education?
High School Diploma College Degree Graduate Degree Doctoral Degree Te c h n i c a l / P r o f e s s i o n a l
8 . Which best describes the size of your yard?
1/4 – 1/2 acre 1/2 – 3/4 acre 3/4 – 1 acre 1 – 2 acres
9 . What is your annual household income?
$25,000 – 40,000 $40,000 – 60,000 $60,000 – 90,000 Over $90,000
1 0 . What other brands of insect abatement have you tried?
Z a p p e r s S p r a y s P e s t i c i d e s Other CO
2
Traps, Name:
1 1 . Would you consider giving a testimonial once you are thoroughly convinced of the effectiveness
of the Mosquito Magnet?
Ye s N o
1 2 . Would you recommend the Mosquito Magnet to a friend?
Ye s N o
1 3 . Were the assembly directions and operation instructions explained clearly and simply?
Ye s N o
1 4 . Did you require customer service?
Ye s N o
Consumer Confidentiality: All of the information that has been gathered on this reply card is solely for the internal sales and marketing efforts of American Biophysics Corporation. None of the
information that you may have provided will be sold, rented or leased to any other company, organization or agency for any purpose whatsoever. None of this information will be posted on our
company website or any other vehicle that can be obtained by the public domain. If you wish to make additional comments or testimonials about our product, please address them separately and
send them to our Marketing Department at the address listed inside the manual.
Product Registration
NECESSARY INFORMATION
In order to properly register your product
with American Biophysics
®
Corporation,
the following information is required.
Model:
Circle One
G a r d e n D e f e n d e r L i b e r t y
Liberty Plus P r o Pro Plus
Serial Number:
Date of purchase:
American Biophysics
®
Corporation
140 Frenchtown Rd.
North Kingstown, RI 02852
Place
F i r s t - C l a s s
Stamp
H e r e
PLEASE FOLD AND SEAL WITH TAPE ALONG OPEN END. DO NOT USE STA P L E S
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