Register Your Instapure Products Here

Instapure brands, Inc.

3855 Precision Drive, Building 180
Loveland, CO 80538

(970) 212-4100 Phone
(970) 212-4090 Fax

Product Registration

Thank you for purchasing an Instapure® product, and for taking the time to register it here. Instpaure Product Registration is quick, easy and secure, and creates a record that can be used if your product is lost or stolen. It also allows us to contact you in the unlikely event that a safety notification is required.

This information will be used to provide an appropriate response to your questions or comments. Your privacy is important; visit our terms and conditions page for more information.

Required Information

First Name:

Last Name:

Email (must be valid for registration):

Street:

Apt No:

City:

State:

Zip Code:

Date of Purchase:

Store Name:

Product:

Faucet Filtration Systems

F2 Chrome F2 White

F5 Chrome F5 White

F8 Chrome F8 White

Replacement Filters

R2 Single Pack R2 Twin Pack

R2 Four Pack

R5 Single Pack R5 Twin Pack

R7 Single Pack R7 Twin Pack

R8 Chrome      R8 White

Optional Information

While this section is optional, completing this section will help Instapure to better serve our customers.

Date of Birth:

How did you initially become aware of this product?

Received as gift

Internet

TV/Radio News Story

TV/Radio Advertisement

Magazine Article

Store Circular/Flyer

Recommended by Friend or Relative

Recommended by Salesperson

Store Display/Demonstration

Plumber/Water Treatment Dealer

Other

What benefits were you looking to receive when you purchased this product?

Improve Taste

Improve/Reduce Odor

Improve Appearance

Improve Overall Quality

General Health Reasons

Reduce Sediment

Reduce Chemicals

Reduce Heavy Metals

Reduce Contaminants

Save Money over Bottled Water

Reduce Pollution

Other

Which of the following do you currently use?

Well Water

City Water

Water Softener

House Filter

How Many People Currently Reside in Your Household?

Children

Adults

Please describe your current cccupation.

Professional/Technical

Upper Management/Executive

Middle Management

Sales/Marketing

Clerical/Service Worker

Tradesman/Machine Operator/Laborer

Homemaker

Retired

Student

Self Employed/Business Owner

Working From Home Office

Serving in the Military

Federal Employee

Which group describes your annual household income?

Level of education completed.

Which Credit Cards do you use regularly?

American Express, Diners Club

MasterCard, Visa, or Discover

Department Store, Oil Company, etc.

I don't use Credit Cards

For your primary residence do you:

Own Rent

Which of the following activities do you plan to do in the next 6 or 12 months?

1-6 Months

7-12 Months

Get Married

Have a Baby

Buy a House

Remodel a Home

Move to a New Residence

Buy a New Personal Computer

Buy or Lease a New Vehicle

Buy or Lease a Used Vehicle

Please check all that apply to your household.

Shop by Catalog/Mail

Shop Online

Member of Frequent Flyer Program

Donate to Charitable Causes

Own a Compact Disc Player

Own an MP3 Player/Download Music

Have a Dog

Have a Cat

Own a Mobile Phone

Have a Baby

Own A Computer with Windows

Own An Apple Computer/Mac

To help us understand our customers' lifestyles, please indicate the interests and activities in which you or your spose enjoy participating on a regular basis.

Bicycling

Golf

Physical Fitness/Exercise

Running/Jogging

Snow Skiing

Tennis

Camping/Hiking

Fishing

Hunting/Shooting

Horseback Riding

Powerboating

Sailing

Grandchildren

Needlework/Knitting

Flower Gardening

Vegetable Gardening

Crafts

Buy Movies

Automotive Work

Electronics

Home Workshop/DIY

Recreational Vehicles

Listen to Music

Surf the Web

Avid Book Reading

Bible/Devotional Reading

Health/Organic Foods

Photography

Attending Cultual Events

Fashion Clothing

Fine Arts/Antiques

Cruise Ship Vacations

Travel in USA

Gourmet Cooking

Wines

Coin/Stamp Collecting

Collectables/Collections

Our Nation's Heritage

Real Estate Investments

Stocks/Bonds

Entering Sweepstakes

Casino Gambling

Science Fiction

Environmental Causes

Dieting/Weight Control

Science/New Technology

Self-Improvement

Walking for Health

Watching Sports on TV

Home Video Recording

Money Making Opportunities