Name ______________________________________________________________________________________
Address ____________________________________________________________________________________
City __________________________
Sex: MALE
FEMALE
Occupation: Professional/Management
Unemployed
Other (please specify) ____________________________________________________________
Which factor most influenced your decision to purchase this product? Store display
Retailer recommendation
Other (please specify) ______________________________________________________________________
Pump used for:
Waterfall
Check Laguna product purchased:
WG 250
WG 500
Rolf C. Hagen (U.K.) Ltd. California Dr. Whitwood Industrial Estate, Castleford, West Yorkshire WF10-5QH
Nom _______________________________________________________________________________________
Adresse ____________________________________________________________________________________
Code postal ________________________________ Ville ___________________________________________
Téléphone _________________________________ Âge ______________________Sexe _________________
Date de l'achat _____________________________ Magasin _______________________________________
Code postal ________________________________ Ville ___________________________________________
S'agit-il d'un cadeau?
Pompe utilisée pour :
Côcher le produit Laguna acheté :
WG 250
WG 500
WARRANTY REGISTRATION CARD
Return to validate your guarantee
Age group: 16 or less
Clerical
Recommendation of a friend or relative
Fountain
WG 1000
WG 1500
F R A N C E
FICHE DE GARANTIE
À retourner pour valider votre garantie
OUI
NON
Cascades
Fontain
Autre/Spécifier __________________________________________________________
WG 1000
WG 1500
Rolf C. Hagen (France) SA,
U . K .
17-35
Manual
Student
Other/ Specify ________________________________________
WG 2000
WG 3000
WG 2000
WG 3000
F-77388 Combs la Ville.
36-60
Over 60
Retired
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Received as a gift
WG 5000
WG 5000
WG 7000
WG 7000