Brondell Spa Suite Product Registration 2019

1. Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

Zip

Phone Number

Hot/Cold Mixing Valve Kit

CleanSpa Luxury Hand Held Bidet

FreshSpa Easy Bidet

FreshSpa Dual Temperature Bidet

CleanSpa Hand Held Bidet

GoSpa Travel Bidet

SouthSpa Ambient Temperature

SouthSpa Dual Temperature

Male

Female

Under 30

30-45

45-60

60+

20% of survey complete.