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TELL US ABOUT YOURSELF
First Name: ______________________ Last Name: _______________________
Address: ___________________________________________________________
City: ____________________________ State/Province: ____________________
Zip: _____________________________ Country __________________________
Phone: ( ________ ) __________________________________________________
Email Address: ______________________________________________________
Date of Birth: _____ /_____ /_____
mm
dd
yyyy
Place of Purchase: City: _ _________ State: ________ Country: ______________
HELP US UNDERSTAND YOU BETTER
What other watch brands do you own: ___________________________________
How many Skagen watches do you own: _________________________________
Reason for purchasing your Skagen watch:
I purchased it for myself
I purchased it as a gift
Select if you choose not to receive offers from Skagen and Skagen.com.
(Your information will not be shared with other organizations.)
Gender: F
M
I received it as a gift
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