HELMET REGISTRATION
* indicates required field
Name:
Address:
City:
State:
Zip:
Email:
Date Of Purchase:
Where Did You Buy Your Helmet?
What Boeri Helmet Did You Purchase?
Apollo Myto Switch
Axis Performance Axis Rage
Kameleon Steez
Scrapper Shorty Air
Tactic  
 
Snow Discipline:
Ski Other
Telemark Snowboard
Ski and Snowboard
 
Have you seen Boeri's advertising in:
Snowboarder Freeze
Ski Transworld
Skiing Freeskier
Powder  
 
What motivated you to buy a Boeri helmet?
Safety Style
Warmth Other
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