WARRANTY REGISTRATION

Please complete this form and hit the "REGISTER NOW" button to forward your registration information to Morton. Registration must be done within 10 days of the date of original retail purchase.

Mr.       Ms.       Mrs.       Miss

First Name

Initial

Last Name

Address

City

Your State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY         Zip Code

Telephone (ex: 651-555-1212)

Date of Purchase (ex: 06/29/2004)

Which Morton Water Softener model did you purchase?
Please Choose One MSD34C MSD30D MSD27B MSS20B

What is your age range?
Please Choose One Under 25 25-40 41-54 55 or over

How many people are in your household?
Please Choose One 1 2 3 4 5 6 7 8 9 10 or More

Which Best Describes your annual household income?
Choose One Under $10,000 $10,000 - $29,999 $30,000-$59,999 $60,000-$99,999 $100,000 and Over

Did you have a water softener before? Yes     No

If yes, did you: Own     Rent
What was the brand of your previous water softener?
Please Choose One Morton EcoWater Culligan Kinetico Kenmore Hague Water Boss GE Smart Water RainSoft Other

How did you hear about Morton Water Softeners?
Please Choose One In-Store Display Newspaper Ad Magazine Ad Friend/Relative TV/Radio Ad Other

How did you install your Morton Water Softener?
Please Choose One Self Friend/Relative Hired A Plumber Other

What was the most important factor influencing your selection of your Morton Water Softener?
Please Choose One Price Features Warranty Availability Friend/Relative Recommendation Salesperson Recommendation Other