Thank you for purchasing a Shop-Vac product!
To better serve you, please take a moment to register your product.

Items listed in red are required for registration purposes.

First Name:
Last Name:
Street Address:
Postal Code:
Phone Number:
Email Address:
Vacuum Model Number:
(found on carton's top flap or motor housing)
Catalog Number:
(found on carton's top flap)
Date of Purchase:

In order to give you the best product and service, we would appreciate your assistance in furnishing the following information.

Response is not required on any or all of the questions below, but would be very helpful and greatly appreciated.

Was the vacuum received
in good condition?

Yes  No
(Any problems noted will be handled on a timely basis)
If not, what was wrong? 1. Missing accessories
2. Missing filters
3. Damaged tank
4. Damaged accessories
5. Defective motor
6. Missing caster
7.Damaged filters
8. Other
Please list missing/
damaged items:

(see carton's top flap for accessories which are standard to your model)
Additional comments:
Type of residence:
Type of store where purchased:
The main use of this
product will be in:
1. Home
2. Garage
3. Workshop
4. Vehicle
5. Basement
Vac type:
Max Watts:
What factors most influenced this purchase?
(check up to 3)
1. Received as gift
2. Style/appearance
3. Brand reputation
4. Price
5. Technical application
6. Recommendation of friend/relative
7. Recommendation of salesperson
8. Product features
9. Previously owned Shop-Vac product
10. Advertising
11. Ease of operation
12. Power of product
13. Size/weight
14. Portability
Which of the following best describes this purchase?
(check all that apply)
1. First Purchase
2. Replacement



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