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required information
First Name Middle Last Name
Address Suite/Apt.
City State/Province Zip/Postal
Country Phone Email
Preferred Method of Contact:  Phone   Email
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Age Gender Household Income I Plan to Buy a Spa in
Please check all that apply:
 I have recently visited a Marquis Spas dealer.
 I have recently purchased a Marquis spa.
 I would be willing to participate in future surveys regarding my Marquis spa.
I heard about Marquis SpasĀ® through:
 Another Spa Owner  Fair/Home Show  Internet  Local Dealer
 Magazine  Newspaper  Radio  Television
 Yellow Pages  Current/Past Marquis Spa Owner
Other: 
I actively participate in the following activities:
 Cycling/Mtn. Biking  Entertaining  Boating  Golf
 Home Improvement  Walking/Hiking  Camping  Fishing
 Weight Lifting  Hunting  Motorcycles  Tennis
 Snow Sports  Running    
Other: