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Date of birth January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997

Product modelSelect Couloir Series FLEX ALP FLEX NRG FLEX TRK Flurry Frontier Series Glacier Series Mountaineer Series Nordic Series Pathfinder Series Sojourn Series Storm Series Timberline Series Traditional Wood Series Trail Adventure Series Trailblazer Series Trailhead Series Velocity Venture Series Wilderness Series Xplore Series

Upc number (Your UPC number will start with 7665 or 7146 and is 12 digits in length. Not required for registration.)

Store where purchased

Date of purchase 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Price paid$.00 (Excluding sales tax)

Sales persons impact Very strongly Strongly Somewhat Somewhat Not much Not at all

How many days did you go snowshoeing last season?1-2 3-5 6-10 11-20 20+

Family incomeUnder $15,000 $15,000-$19,999 $20,000-$29,999 $30,000-$39,999 $40,000-$49,999 $50,000-$59,999 $60,000-$74,999 $75,000-$99,000 $100,000-$124,999 $125,000-$149,999 $150,000-$174,999 $175,000-$199,999 $200,000-$249,999 $250,000+

Highest level educationNo highschool Completed highschool Completed college Completed college/Professional school

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