Register your purchase with us and protect your investment. Please supply us with the following information:
Your Name:
Your email:
Address:
City:
State/Prv:
Zip/Postal Code:
Country:
Select a country
Argentina
Australia
Austria
Belgium
Brazil
Canada
Caribbean
Chile
China
Colombia
Czech Republic
Denmark
Europe
Finland
France
Germany
Greece
Hong Kong
Hungary
India
Ireland
Israel
Italy
Japan
Korea
Latin America
Luxemburg
Malaysia
Mexico
Middle East
Netherlands
New Zealand
North Africa
Norway
Peru
Poland
Portugal
Russia
Slovakia
Slovenija
South Africa
Spain
Sweden
Switzerland
Taiwan
Thailand
Turkey
United Kingdom
United States
Uruguay
Venezuela
Phone:
Fax:
Website:
Product Registered:
BeerMachine
BeerMaker
Brewry
Date Purchased:
/
/
(MM/DD/YY)
Where/how purchased:
choose one..
in a store
from a radio ad
over the phone
by mail order
from this website
from another website
Store where purchased:
Have you made your own beer before purchasing this product?
Yes
No
Your Age:
Pick age
Less than 24
25-34
35-44
45-54
55 or better
Where did you learn about this product?
choose one..
from a catalog
was a gift
from TV
from newspaper ad
from Radio
in a store
from a friend
on the Internet
other
website URL
Please send me your regular email updates and put me on your mailing list
Your Comments:
SPECIAL NOTE:
BeerMachine.com
does
not
share email addresses with any other company. Your email address remains with us only.
Join our FREE
Beer Secrets Newsletter
subscribe
unsubscribe
HOME
|
the BEERMACHINE
|
the BREWERY
|
BEER MIXES
|
ACCESSORIES
|
HELP
|
BREWMASTER'S CLUB
|
ABOUT US
©1998- 2002, 2003 BeerMachine.com
For more information please contact info@beermachine.com
Website designed and maintained by
AMGmedia Works Inc.
February 13, 2008 7:51 AM
