IonRay - Ionized
      




Please complete this on-line registration within 10 days of your purchase in order to activate your warranty. Youâ?Tll get inside information on special offers and the latest information about our Ionized Eyewear. Your answers will also help us develop a profile of your needs and lifestyles to serve you better in the future.

Complete the fields below to register (BOLD indicates required fields)

Title
First Name

 		 Initial

  		Last Name

 
Address 1  
Address 2
City  
State  
Postal Code  
Email   
Date of purchase //
Product Name


    
 
     1. Did you receive your Ion-Ray Eyewear as a gift?    
 
     2. If no, where did you purchase them?    
 
     3. Which group describes your annual family income?    
 
     4. What were the three most important factors influencing your decision to purchase Ion-Ray Eyewear?  
 
 
 
     5. What other eyewear do you own besides Ion-Ray?    
 
     6. When is your birthday?     //
 
     7. Marital Status:    
 
     8. Do you require corrective eyewear?:    


    

    
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