Product Registration

BRIZO
55 E. 111th Street
PO BOX 40980
Indianapolis, IN 46280
BRIZO HELP LINE: 1‑877‑345‑BRIZO (2749) Sign Up for Email Updates

REGISTER YOUR PRODUCT

Thank you for your purchase of this product.

You can help us to continue providing you with the finest products available by completing and submitting this brief questionnaire. This information enables us to improve existing products, develop new products, and reach our customers more efficiently. Returning this form will allow us to contact you regarding this product should the need arise. We appreciate your help, and thank you for your cooperation.

Required fields are indicated with *

Languages:
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Spanish

About You

Your date of birth:
How many - including yourself - are in your household?
For your primary residence, do you:

About Your Product

Where do I find the UPC?
Date of manufacture: (If the manufacturer's code does not appear on the UPC code shown above, please look for a small label on the bottom of box that will give you this information.)
(K,G, or T)
Date of purchase: *

About Your Purchase

Which one of the following best describes what prompted your purchase?
(years old)

[rating on a 1 to 10 scale - 1 Not at all satisfied / 10 extremely satisfied]

[rating on a 1 to 10 scale - 1 Not at all likely / 10 extremely likely]

[rating on a 1 to 10 scale - 1 extremely difficult / 10 extremely easy]

Please indicate where applicable. (leave blank if not applicable)
Had the most influence in selecting the style Had the most influence in selecting the brand Actually purchased the faucet at the store Installed the product
Both male and female household heads
Male household head
Female household head
Plumber/General Contractor
Decorator/Designer
Builder
Friend or Other Family Member
Local Handyman
Other
Do you plan to remodel any of the following areas in the next 12 months?
Yes No Don't Know
Kitchen
Bar
Master Bathroom
Laundry
Other Bathroom
What other brands did you consider before purchasing Brizo? Choose all that apply:

Your Contact Preferences