UltraCut Registration Page

Product Registration

Use this form to register your new tool, receive your FREE replacement cutter wheels and be sure you are kept of aware of the latest news on the UltraCut™

Personal & Company Information

Name
Title
Organization
Street Address
Address
City
State/Province
Zip/Postal Code
Country
Phone
FAX
E-mail
Website address (URL)
Date of Birth	/ / (mm/dd/yyyy)
Sex	Male Female

Product Information

Product Name
Serial Number	(UltraCut only--found inside the battery compartment)
Date Purchased	/ / (mm/dd/yyyy)
Location Purchased

Other Information

Where did you hear about the UltraCut? (Select all that apply)

	Magazine			Friend or Co-worker
	Store			Other
	Catalog

Where will you use your UltraCut? (Select all that apply)

	New Construction			Residential
	Remodeling			Industrial
	Service & Repair			DIY
	Commercial

Did you buy this for yourself?

Yes

How much tubing do you cut?

Would you recommend the UltraCut?:

Yes

Maybe

Anything else you would like to tell us? (please be nice, we have feelings too)