NEWON™ Warranty
Registration


Please complete this form.

Personal Information

First Name:    
Last Name:
Company Name:
Address
    (number and street):
City:
State/Province:
Zip/Postal Code:
Phone Number:    
Email:

Purchasing Information

Date of Purchase: Month:     Year:
Purchase Price: $ .00 
Purchased From:

Item Number (located on back of sign):
Thank you for completing this questionnaire.
We value your answers.

Where did you learn about NEWON™ signs?
(check one)

Store Display

Internet
Newspaper/Magazine Radio/TV
Other:

What is the primary reason you selected a NEWON™ sign?
(check one)

Shatterproof

Super Bright
Energy efficient Light weight/compact
Long life Safe
Other:

Will this replace a neon sign?

Yes

No

Sign will be displayed at what type of business?

Eating/Drinking

Apparel
Vehicle Sales/Repair Furnishing/Decorative
Beauty Accounting/Tax
Other:

Number of employees at business:

Comments: