Thank you for buying Benwin.
Please take a moment to fill out this product registration form and submit it.

Product Information

Model Number of Product

Serial Number

Price Paid

Place of Purchase

I use this product with a:        

Please select one Home Stereo System Home Theater System Television Desktop Computer Notebook Computer Portable CD Player Portable Stereo MP3 Player

I heard about this product from: 

Please select one Ad Reseller Printed Catalog Online Store Friend/Referral Mailing Other

If ad, please specify the publication:

If other, please specify:

Please update me on other products

Yes  No

Your Information

Your email address

Mr. Mrs. Ms. 

First Name

Last Name

Street Address

Street Address

City

State

Zip/Postal Code

It is not necessary to answer the following questions, but your participation would be greatly appreciated.

Year you were born

Marital Status:

Married Single

Gender: Male  Female

Level of Education:

Completed High School Completed College Completed Graduate School

Do you own a computer? Yes No

If yes, year it was purchased

Thank you for taking the time to complete your online product registration. All information submitted will be kept confidential and for the sole use of the Benwin Marketing Department.