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Contact Details

* First Name: * Last Name:
* Address: * City:
* Province: * Postal Code:
* E-mail Address: * Phone:

* I would like to receive future e-mails from Rowenta on contests, surveys, promotions, and coupon/rebate offers.
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Rowenta does not sell or publish its e-mail list. Rowenta is a registered trademark of Groupe SEB. For further information on how Rowenta respects your privacy, visit our Privacy Policy .

For classification purposes

* Age: * Gender:
* What is your marital status? * How many people live in your household?
* Household Income:

  1. Please indicate the type of product purchased:
    • Hand Vacuum
    • Canister Vacuum
    • Stick Vacuum
    • Other
  2. Please indicate unique product reference number found on back/bottom of unit or the UPC found on the box.
  3. Date of purchase:

    Please select a date. Select a Date
  4. Did you:
    • Receive this product as a wedding gift?
    • Receive this product as a gift?
    • Purchase this product yourself?
  5. If product was self-purchased, please specify which store?
  6. Do you currently own any Rowenta products?
    • Yes
    • No
  7. If yes, please indicate which Rowenta products you currently own:
  8. Which of the following brands did you consider before purchasing this product:
    • Black and Decker
    • Dirt Devil
    • Shark
    • Dyson
    • Bissell
    • Hoover
    • Miele
    • Electrolux
    • Kenmore
    • Samsung
    • Other
  9. What factor or feature most influenced your decision to choose this product:
    • Received as a gift
    • Special offer/advertisement
    • Ease of operation
    • Product feature
    • Store display
    • Style/appearance
    • Quality/durability
    • Brand reputation
    • Value for price
    • Recommended by friend/relative
    • Recommended by sales person
    • Magazine/newspaper
    • Prior experience with brand
    • Demonstration
    • Product packaging

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