CycleOps Product Registration - Form

Product Registration
PERSONAL INFORMATION:

First Name:
Last Name:
Address:
City:		State/Province:		Zip Code:
Country:
Email:			Click here if you would like to receive email communication from Cycleops.

PURCHASE INFO:

Date of Purchase:

Purchase Price:	$

Model:
If you don't see your product listed please type the model name or number here.

ABOUT YOU: (This information is optional)

Date of Birth:
Gender:	Male Female
Marital Status:	Single Married
Household Size:	Adults:
	Children:

Education:
Household Income:
Residence:	Own Rent

LIFESTYLE:

How many bikes do you own?
How many miles do you ride a month?
How much did you spend on your last bicycle?
How many purchases a year do you make of cycling related products?	Independent Bicycle Store:
	Online:
	Mail Order : (Performance, Colorado Cyclist)
	Full Line Sporting Goods Stores: (Dick's, Gart Brothers, etc.)

What make/model of car do you own?	Make:
	Model:
What year is your car?


What kind of bike do you intend to use on your trainer?

How many hours a week do you ride your trainer?

While riding a trainer do you?

Do you travel with your trainer?	Yes No

Do you own a Power Meter?	Yes No
If you Answered "Yes" which one?

Have you ever owned another Trainer?	Yes No
If you Answered "Yes" which one?

How did you first learn of our product?