Electric Products Registration

Thank you for purchasing a Zojirushi product. Registering your Zojirushi product today will allow us to contact you in the unlikely event any safety notifications are issued for your product, and ensure efficient warranty service.

Failure to register will not diminish your warranty rights.

*Required Fields

1. Name & Address:

Title:

*First Name:

Initial:

*Last Name:

*Street:

Apt. No.:

*City:

*State/Province:

*Zip/Postal Code:

*E-mail Address:

Phone Number (Not Required) :

2. Age:

a. 18-25

b. 26-35

c. 36-45

d. 46-55

e. 56-65

f. 66 and up

3. Marital Status:

Married

Single

4. *Date of Purchase:

(MM/DD/YYYY)

5. *Model Number:

(located on product box)

6. *Lot Number:

(Located on the bottom or side of the product. )

7. *Store Where Purchased:

8. Receipt:

(If you have a receipt available, please use the form below to upload.)

	Currently Own	Intend to Buy
a. Drip Coffee Maker		a.
b. Single Serve Coffee Maker		b.
c. Espresso Maker		c.
d. Coffee Grinder		d.
e. Toaster Oven/Toaster		e.
f. Slow Cooker		f.
g. Food Processor		g.
h. Kitchen Scale		h.
i. Hot Water Pot/Boiler		i.
j. Electric Kettle		j.
k. Hand Mixer		k.
l. Stand Mixer		l.
m. Breadmaker		m.
n. Rice Cooker		n.
o. Electric Griddle		o.
p. Electric Indoor Grill		p.
q. Electric Grill (Folding-Type, Panini Press)		q.
r. Juicer		r.
s. Blender		s.
t. Immersion Blender		t.
u. Steamer		u.

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Thank you for registering your product!

Electric Products Registration

5. *Model Number:

6. *Lot Number:

7. *Store Where Purchased:

Questionnaire

Zojirushi 101 (Newsletter)