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Please complete and submit within 10 days to register your purchase. This information is for the exclusive use of Tekonsha® and Cequent™. Your assistance will enable us to better understand and meet your needs. If you have questions regarding product performance or safety related issues, please do not hesitate to contact our technical service group at 800-325-5860 prompt 5.

THANK YOU. 

*Product Purchased
*Date Purchased
*Prodigy Serial Number
(from product if applicable,
otherwise use todays date, dd/mm/yyyy)
*Name
*Address
*City
*State or Other
*Zip
Country
Email
*Retailer Name
*Address
*City
*State or Province
*Zip
Country

Installed by:Dealer/Installer Self

Is this:First time purchase
or the replacement of: a Tekonsha Towing Systems product Another brand 

How did you learn of Product?
Magazine Ad  Trade Show/Rally 
Salesperson/Dealer  Internet 
Product Literature  Friend/Associate 
Previous Experience with Our Products  Other 

What were your top three (3) reasons for choosing product?
Company Reputation Brand Name
Warranty Provided Dealer's Recommendation
Advertisement Ease of Installation
Ease of Operation Other 

Did you purchase a tow vehicle or trailer at the same time as this purchase?
Yes No

What type of tow vehicle do you drive?
Auto
SUV
Mid-Size Pickup
Full-Size Pickup
Other 

What type(s) of trailer do you tow? (Check more than one if applicable)
RV
Boat
Horse
Utility/Cargo
Other 

Average annual driving miles pulling trailer(s)?
Less than 1,000  1,000 to 2,500 
2,500 to 10,000  10,000 and over 

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