* = required
Title: ------ Mr Mrs Ms Miss

Forename:*

Surname:*

email:*

Address:*

Postcode:*

Product:* Sweeper SW01 Sweeper SW02 Sweeper SW03 Sweeper SW04 Sweeper SW05 IceFan AC01 Hedge Trimmer HT01 HandHeld Trimmer ST01 Cordless Mower CM01 Petrol Mower PM01

Serial number:*

:: Sweeper range - this is the 4 digit number indented into the CE sticker e.g. 4303
Garden range - This is the 9 digit number located on the CE sticker e.g. 040402938 ::

Date of Purchase: (dd/mm/yyy)*

Price of Purchase (£):*

Place of Purchase:*

	Gtech Online Shop		Department store
	Local retailer		National retailer
	Internet store		Other

other :

Your details will be held and used by Grey Technology Ltd to provide customer services, information about new products warranties and for other internal marketing purposes. If you do not wish us to use your data for other marketing purposes please tick this box.