Register your new Coleman® product here. Items marked with an * are required for processing
Product Category:
Category ID:
*Product Model Number:
*Purchase Date:DD/MM/YYYY / /
*Where did you purchase the product? Choose a store WalMart Target Kmart Other Discount Store Home Depot Lowe's Other Home/Hardware Store Sporting Goods Store Club Grocery or Drug Store Pool/Patio/Fireplace Store Nursery Online Gift Other
Product Price:
*First Name:
*Last Name:
*Address:
*City:
*State: Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip Code:
*E-mail Address:
Telephone Number:
Date of Birth: / /
Marital Status: Choose One Single Married Divorced
Education: Choose One High School Some College Graduated College Under Graduate School
Number of People in Household: Choose One 1 2 3 4 5 6 7 8 9 10
Household Income: Choose One $10,000-$20,000 $20,000-$40,000 $40,000-$60,000 $60,000-$100,000 $100,000+
Number of kids in household under 18 years of age: Choose One 0 1 2 3 4 5 6 7 8 9 10
What other brands did you consider?
Which of these best describes this purchase? Describe this purchase Received as a gift First of this type of product owned Addition to Coleman product Replaced old Coleman product Replaced another brand product Purchased in addtion to anther brand
Do you participate in any of the following activities?
Tent Camping RV Camping Hiking/Backpacking Fishing Boating Going to the Beach Tailgating Picnicking Hunting
Barbecuing Rock Climbing Bicycling Leisure Walking Canoeing Kayaking Entertaining Backyard Entertaining Attend Auto Racing
What factors most influenced this purchase? (Select all that apply)
Please send me new product information, promotions and product surveys.