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Product Registration

Please fill in window sticker information.
Sticker is located at the top of the window where the top sash meets the frame.
This information will aid in locating your original window order.

* Required Information

Sticker Information
* Dealer Name:
* Customer Order Number:
* Product Number:

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Personal Information
* First Name:
* Last Name:
* Email:
* Address:
* City:
* State:
* Zip:
* Phone:
* Date of Birth:	Month: Day: Year:

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Additional Information
Marital Status:	Single Married Widowed Partnered
Your Occupation:	Professional/Technical Upper Management/Executive Middle Management Sales/Marketing Clerical/Service Worker Tradesman/Machine Operator/Laborer A Homemaker Retired A Student Self-Employed/Business Owner In the Military
Spouse's Occupation:	Professional/Technical Upper Management/Executive Middle Management Sales/Marketing Clerical/Service Worker Tradesman/Machine Operator/Laborer A Homemaker Retired A Student Self-Employed/Business Owner In the Military
Annual Family Income:	Under $15,000 $15,000-$19,999 $20,000-$29,999 $30,000-$39,999 $40,000-$49,99 $50,000-$59,999 $60,000-$74,999 $75,000-$99,999 $100,000-$124,999 $125,000-$149,999 $150,000-$174,999 $175,000-$199,999 $200,000-$249,999 $250,000 & Over
Level of Education:	Some High School Completed High School Completed College Completed Graduate School Completed Trade School

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About Your Home
Check all that apply:	Subscribe to an Online/Internet Service
	Own an IBM or Compatible Computer
	Own an Apple/Macintosh Computer
	Own a CD-ROM drive on your computer
	Own a DVD-ROM drive on your computer
Age of Home:	Less than 5 years 5-10 years 11-20 years 21-34 years 35-49 years 50-75 years Over 75 years
Length of Time in Current Home:	Less than 2 years 2-4 years 5-7 years 8-10 years 11-15 year 16-20 years 21-25 years 26-30 years Over 30 years

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About Your Purchase
* Date of Purchase:	Month: Day: Year:
Windows Purchased:	Single Hung Double Hung Slider Picture Bow Bay Casement Garden Patio Door Other
* Brand of Window Purchased:	Enhancement
	Contour
	Classic III
	Allure
	Builders
	Other
Total Contract Price for Windows and Patio Doors:
* How You Found Your Window Dealer:	Referral from friend/family/neighbor Newspaper ad T.V.commercial A canvasser knocked at my door Home show, fair or event Internet or web search Radio commercial Direct mail piece Yellow Pages They called me
Purchase Information:	This is my first window purchase
(Check all that apply)	This is my first window purchase from this dealer
	I have purchased from this dealer before
	Other
* Why You Chose Your Window Dealer:	Liked Dealer's products
(Check all that apply)	Dealer was recommended
	Liked the presentation the salesman made
	Had the best price
	Could do the work the fastest
	Offered financing
	Other
If You are Replacing Windows, Why You are	Appearance
Doing it Now: (Check all that apply)	Poor operation
	Want to save energy
	Drafts
	Water leaks
	Selling home
	Other
Home Improvements You Plan on Making in the	More windows
Next Year: (Check all that apply)	New roof
	Kitchen remodeling
	New landscaping
	New siding
	New deck
	New gutters/gutter cap
	New entry door
	Other

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News

For the past year, Republic Windows & Doors has been stepping-up its focus on innovation in all areas of the company. From product development to marketing, from manufacturing to installation - innovation is the big story at Republic. Our Public Relations effort has spotlighted many of the exciting programs underway at Republic, and has resulted in the following press releases: