Register Product

couldbe studios

2008-07-17T22:38:28-04:00

147522

Register Product 2008-07-17T22:40:43-04:00 <notextile> <script type="text/javascript"> function check() { var msg=""; if($('FirstName').value==""){msg+="* First Name\n";} if($('LastName').value==""){msg+="* Last Name\n";} if($('Street').value==""){msg+="* Street Address\n";} if($('City').value==""){msg+="* City\n";} if($('PostalCode').value==""){msg+="* Zip - Postal Code\n";} if($('email').value.indexOf('@') == -1) { msg+="* email address\n"; } if($('ModelNumber').value==""){msg+="* Model Number or UPC\n";} if($('DateOfPurchase').value==""){msg+="* Date of Purchase\n";} if($('PrivacyPolicy').checked!==true){msg+="* Privacy Policy\n";} if(msg !== "") { alert("Please correct the following:\n\n"+msg); return false; } } function $(id) { return document.getElementById(id); } </script> Three Important Reasons to Register Your Product Immediately! <ol> <li>Register your new iPopperz product so that it can be quickly and easily repaired or replaced.</li> <li>Improved Product Development... Help us continue to design products that keep you rocking!</li> <li>Join The Club… Once you're on our list, you're a part of the iPopperz family and we can keep you in the loop.</li> </ol> <form action="http://contact.i-popperz.com/send.php" method="post" onsubmit="return check();"> <input type="hidden" name="Source" value="Product Registration Form"/> <label>Title:</label> <input type="radio" name="Title" value="Mr." checked/>Mr. <input type="radio" name="Title" value="Mrs."/>Mrs. <input type="radio" name="Title" value="Ms."/>Ms. <input type="radio" name="Title" value="Miss"/>Miss <br/> <label>First:*</label></label><input class="text" type="text" id="FirstName" name="FirstName"/><br/> <label>Last:*</label><input class="text" type="text" id="LastName" name="LastName"/><br/> <label>Street:*</label><input class="text" type="text" name="Street" id="Street"/><br/> <label>Apt #:</label><input class="text" type="text" name="Apt"/><br/> <label>City:*</label><input class="text" type="text" id="City" name="City" id="City"/><br/> <label>State:</label><input class="text" type="text" name="State"/><br/> <label>Province</label><input class="text" type="text" name="Province"/><br/> <label>Zip/Postal code:*</label><input class="text" type="text" name="PostalCode" id="PostalCode"/><br/> <label>Country*</label><input class="text" type="text" name="Country"/><br/> <label>E-mail address:*</label><input class="text" type="text" name="email" id="email"/><br/> <label>Telephone Number:</label><input class="text" type="text" name="Phone" id="Phone"/><br/> <br/> <input type="checkbox" name="Subscribe" value="Y"/> I would like to receive information from iPopperz about special offers, promotions and new product information via e-mail. <br/> <label>Date of Purchase:*</label><input class="text" type="text" name="DateOfPurchase" id="DateOfPurchase"/><br/> <label>Model Number or UPC Number*</label><input class="text" type="text" name="ModelNumber" id="ModelNumber"/><br/> <label>Name of store where purchased:</label><input class="text" type="text" name="StoreName"/><br/> <label>Price Paid: (excluding service contract, shipping and taxes)</label><input class="text" type="text" name="Price"/><br/> <br/> <label>Did you purchase or receive an extended service contract with your product?</label> <input type="radio" name="ExtendedServiceContract" value="Yes"/>Yes <input type="radio" checked name="ExtendedServiceContract" value="No"/>No <br/><br/> <label>Is this product:</label> <select name="ProductQty"> <option value="The first product of this type you've ever purchased/received">The first product of this type you've ever purchased/received?</option> <option value="A replacement for another product">A replacement for another product?</option> <option value="An additional product (already own one other)">An additional product (already own one other)?</option> <option value="An additional product (already own 2 or more products)">An additional product (already own 2 or more products)?</option> </select> <br/> <br/> <label>How did you first learn about this product?</label> <input class="text" type="text" name="HowDidYouFirstLearnAboutThis"/><br/> <fieldset> <legend>Your Privacy Matters to Us!</legend> This statement discloses the privacy practices of this Product Registration website. <br/> We believe you should know: <ol> <li>What information this site gathers about you</li> <li>What this site does with the information it tracks</li> <li>With whom this site shares the information it gathers</li> </ol> <span> We collect personal information about our users only during product registration. We do not use cookie technology to track your movements. We respect your right to privacy. As part of the entry process, we give you the opportunity to decline to receive any communications from other parties to whom we may provide such information. The data we collect is used in the aggregate to give us demographic information about the entire audience registering their products. We use this to understand that audience and to improve our offerings to you, our customers. The personal information you provide - name, address, etc. - allows us to inform you of additional special offers which may be forthcoming, and to send you coupons, or notify you of products and services of our affiliates that relate directly to your specific interests, hobbies or other information you have given.</span> <br/> <input type="checkbox" name="PrivacyPolicy" id="PrivacyPolicy" value="I agree"/> I agree </fieldset> <br/><br/> <input type="submit" value="Register Your Product"/> </form> </notextile>