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Company name

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Birth date (dd/mm/yyyy)

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Your product

Serial number of your product (under your product) * (ex. 123456/123456)

Choose your product ----765 MAGIC I-S6750 MAGIC I-S5756 LAURASTAR S4E755 MAGIC S4760 PREMIUM S3728 MAGIC EVOLUTION II780 PREMIUM EVOLUTION II741 EVOLUTION I-G5740 STEAMUP I-G5746 EVOLUTION G4745 STEAMUP G4735 STEAMAX G2731 FIRST G1730 FIRST727 MAGIC VERT726 SWISSMAID EVOLUTION725 PREMIUM EVOLUTION724 STEAMUP VERT723 MAGIC EVOLUTION722 SPRINT717 MAGIC715 SWISSMAID EVOLUTION714 COMPACT713 STEAMY712 STEAMAX – STEAMAX LTD710 PRO706 MAGIC704 PREMIUM N703 PREMIUM
Other products (Serial number)

Product purchase

Store name

City

Purchase date (dd/mm/yyyy)

Complementary informations

Number of people in your household
01 02 03 04 05 06 07 08 09 10 10+
Reason of purchase

gift	brand reputation
price/promotion	seller's advice
friend's advice	advertising
following a demonstration	other
out-of-service appliance

Brand name & model of your former ironing system

Type of your former ironing system
 Iron  Steam iron  System  Other

Number of ironing hours per week
01 02 03 04 05 06 07 08 09 10 10+

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