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  Name & Address:
Mr. Mrs. Ms. Miss
First Name* / Initial / Last Name*:
Apt. / Suite #:
Zip/Postal Code*:
E-mail Address*:
Telephone Number*:
( ) -
Your Date of Birth (Optional):
Marital Status (Optional):
Married Single
What is Your Profession? (Optional)
  Please Tell Us About Your Purchase:
Date of Purchase: 
Product Reference (EX: USK BL 16909, USK HA 31535):
Production Reference (EX: PO-B11079MFR or PO11-00082, indicated on the appliance):
Name of Store Purchased:

Proof of Purchase (PDF, GIF, JPEG, or TIFF)

If you cannot provide and image of your proof of purchase you must either fax or mail in a proof of purchase or your registration is not complete.

I’d like to receive Kalorik’s Super Sunday Sale emails each week offering a selection of items exclusively to Kalorik insiders at up to 70% off