Welcome to Ducane Grills

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2008 Products

Completing the information on this form will allow us to contact you on matters related to your grill. Thank you very much for providing the information below.

Often times when you fill out a form like this, you end up receiving unwanted solicitations from companies you don’t know. We respect your privacy. We will not sell, rent, or distribute your name, address, or personal information to other companies at any time. This information will only be used in the event we need to contact you or for market research purposes.

First Name	M.I.	Last Name

Address

City	State	Zip Code

Phone	E-mail Address

2.	Serial Number

3.	Model

4.	When did you purchase your grill?
	(mm/dd/yyyy)

5.	How much did you pay for it?
	$ .00

6.	Where did you purchase your grill?

	other

7.	Is this grill...

8.	What brand of grill did you own most recently?

	other

9.	Which best describes your interest in grilling?

Knowing more about who buys our grills helps us develop new and innovative products. Please complete the questions you feel comfortable answering, and pass by any question you prefer to leave blank. Again, this information is not sold or rented.

10.	Gender
	MaleFemale

11.	Marital Status
	MarriedSingle

12.	Date of Birth
	(mm/dd/yyyy)

13.	Including yourself, how many people live in your household?
	Adults	Children

14.	What are the ages of the children living at home?
	Age 2 and underAge 5 to 12Age 13 to 17 Age 3 to 4

15.	Do you own or rent a home?
	OwnRent

16.	What is the highest level of education you completed?

17.	What is your total annual household income?