Mervin Hardgoods Registration Form

Name * First Last
Email *
Birthdate * / MM / DD YYYY
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Product Purchased * Snowboard Bindings
If Snowboard, Enter Serial Number

We only have serial numbers on 1011 snowboard models, so if you have an older model leave this blank.
Winter Season Model / Model Year
Make/Brand Lib Tech GNU Roxy
Model
Color
Size
Price Paid $ . Dollars Cents
Date of Purchase / MM / DD YYYY
Place of Purchase * Retail Store Online
Name of Store Purchased From *
The fields below are optional but we'd love to hear your feedback on what/where/how you ride!
How many days a year do you ride?
# of Years You've Been Riding
What's your riding skill level? Novice Intermediate Advanced Sicktar
What type of terrain do you ride most? Ice Groomed Powder Crud/Mixed Slush
Where do you ride most?
What brand boot do you use?
What size boot do you wear?
What brand binding do you use?
What brands of boards do you own?
What was the last board brand you purchased?
When was your last purchase prior to this one?
What other brands were you considering?
What are the top 3 reasons you made this purchase? Graphics Matches my other equipment Matches my clothing Recommended by sales person Recommended by friend Online Research led me here Web or Magazine test results Favorable Reviews in print/online Price Technology & Feature set Other
Favorite sport outside of riding?
If you were to shop anywhere besides a skate, surf or snowboard shop where would it be?
How did you learn about our snowboard products?
What boarding mags do you read? Transworld Snowboarding Snowboard Snowboarder Other
Check all that apply
What's your favorite snowboarding site?
2nd favorite?
Method or Melon Method Melon
Think Thank or Brain Farm Think Thank Brain Farm
Who's your favorite rider?
Add me to the Mervin mailing list Yes, add me!

Mervin Hardgoods Registration Form

Mervin Hardgoods Registration Form

The fields below are optional but we'd love to hear your feedback on what/where/how you ride!