HELMET REGISTRATION | |||||||||||||
* indicates required field | |||||||||||||
Name: | |||||||||||||
Address: | |||||||||||||
City: | |||||||||||||
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Zip: | |||||||||||||
Email: | |||||||||||||
Date Of Purchase: | |||||||||||||
Where Did You Buy Your Helmet? | |||||||||||||
What Boeri Helmet Did You Purchase? |
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Snow Discipline: |
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Have you seen Boeri's advertising in: |
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What motivated you to buy a Boeri helmet? |
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How many people in your immediate family? | |||||||||||||
Does everyone in your immediate family wear a helmet when they ski or snowboard? | Yes No | ||||||||||||
Would you like to become a member of the Boeri Helmet Club to recieve additional information from Boeri Sport USA? | Yes No | ||||||||||||