OSS Product Registration

Title of Registration: *
CUSTOMER INFORMATION
First Name: *
Last Name: *
Company Name: *
E-mail Address: *
Phone: *

Numbers only - no spaces or dashes.
Address:
City:
State:
ZIP/Postal Code:
Country/Region: *
SERVICE ID INFORMATION
New Registrant: *
Serial Number/s: *
How did you purchase your product?
Purchased From: *

If purchased from a Reseller, Distributor or website other than One Stop Systems, enter their name here.
Purchase Date: Purchase Date: * / MM / DD YYYY
Did you buy an Extended Warranty? *
Invoice # of Extended Warranty:

Enter the Invoice number if you did purchase an Extended Warranty.
SURVEY

Please answer the following questions:
( 5 = Strongly Agree/Excellent, 4 = Agree/Good, 3 = Neutral
2 = Disagree/Not Good, 1 = Strongly Disagree/Poor) *
	5	4	3	2	1
Rate the quality of the packaging.	Rate the quality of the packaging.5	Rate the quality of the packaging.4	Rate the quality of the packaging.3	Rate the quality of the packaging.2	Rate the quality of the packaging.1
Rate the ease of completing your transaction.	Rate the ease of completing your transaction.5	Rate the ease of completing your transaction.4	Rate the ease of completing your transaction.3	Rate the ease of completing your transaction.2	Rate the ease of completing your transaction.1
Rate the quality of the product.	Rate the quality of the product.5	Rate the quality of the product.4	Rate the quality of the product.3	Rate the quality of the product.2	Rate the quality of the product.1
How likely are you to recommend our product?	How likely are you to recommend our product?5	How likely are you to recommend our product?4	How likely are you to recommend our product?3	How likely are you to recommend our product?2	How likely are you to recommend our product?1
How likely are you to recommend our service?	How likely are you to recommend our service?5	How likely are you to recommend our service?4	How likely are you to recommend our service?3	How likely are you to recommend our service?2	How likely are you to recommend our service?1
How likely are you to recommend our company to others?	How likely are you to recommend our company to others?5	How likely are you to recommend our company to others?4	How likely are you to recommend our company to others?3	How likely are you to recommend our company to others?2	How likely are you to recommend our company to others?1
Does the product meet your expectations?	Does the product meet your expectations?5	Does the product meet your expectations?4	Does the product meet your expectations?3	Does the product meet your expectations?2	Does the product meet your expectations?1
Overall you are a satisfied customer?	Overall you are a satisfied customer?5	Overall you are a satisfied customer?4	Overall you are a satisfied customer?3	Overall you are a satisfied customer?2	Overall you are a satisfied customer?1

Additional Comments:

Any additional comments, issues or feedback can left here.
Type the letters you see in the image below.

OSS Product Registration

OSS Product Registration

CUSTOMER INFORMATION

SERVICE ID INFORMATION

SURVEY