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140TH ANNIVERSARY
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Gretsch Drums Warranty Registration
DRUM INFORMATION
Model Number/Color
*
Date of Purchase
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
DEALER INFORMATION
Dealer Name
*
Dealer City
*
Dealer State/Province
*
Select State - US and Canada Only
Armed_Forces_Americas
Af
Armed_Forces_Pacific
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
PERSONAL INFORMATION
Purchased by - First Name
*
Purchased by - Last Name
*
Purchaser's Address
*
City
*
State/Province
*
Select State - US and Canada Only
Armed_Forces_Americas
Af
Armed_Forces_Pacific
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Your E-mail Address
*
Gender
*
Male
Female
Occupation
*
Years Played Drums
*
OTHER
Where do you play your instruments?
*
Stage/Performing Musician
School/Student
Classroom/Educator
Home
Studio Recording
What level of player are you?
*
- Select -
Beginner
Amateur
Semi-Professional
Professional
Product Purchased via
*
- Select -
Internet
Catalog
Retail Store
What most influenced your buying decision?
*
- Select -
Store Sales Person
Magazine Ad
Website
Store Promotion
Brand Reputation
Appearance
Sound and Tone
Craftsmanship
Artist
Price
Friend
Teacher
Prior Purchase
Product Catalog
Other
If Other
What code is in the image?
*
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