Warranty Registration

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* 1. Information

Name: *

Company:

Address 1: *

Address 2:

City/Town: *

State/Province: *

ZIP/Postal Code: *

Email Address: *

Phone Number: *

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* 2. Model Number #

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* 3. Date of Purchase? (MM/DD/YYYY)

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* 4. Where did you purchase your Faucet?

Store Name

City

State

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* 5. What room was your Danze Faucet installed in?

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* 6. How would you rate your Danze Faucet?

Exceptional

Average

Poor

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* 7. Would you ever purchase another Danze product?

Yes

No

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* 8. When was your Danze Faucet installed? (MM/DD/YYYY)

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* 9. How would you rank the performance of your Danze product?

Exceptional

Average

Poor

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* 10. How would you rank the installation of your Faucet?

Easy

Medium Difficulty

Very Difficult

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