Product Registration form

*First Name:
*Last Name:
Company:
*Street Address:
*City:
*State:
*Zip Code:
Day Phone #: - -
Email Address:
Date of purchase:  Month:   Day:   Year:   
Model number:  (label on back of unit)
Serial number:  (label on back of unit)
Price Paid($):  (excluding sales tax)
Name of store where purchased: Radioshack
 Other store:
Antenna type: Indoor Outdoor
Antenna type: VCR DVD Combo(VCR+DVR)

Your Privacy Matters to US!

This statement discloses the privacy practices of this Product Registration website.

We believe you should know:
1. What information this site gathers about you
2. What this site does with the information it tracks
3. With whom this site shares the information it gathers

We collect personal information about our users only during product registration. We do not use cookie technology to track your movements.
We respect your right to privacy. As part of the entry process, we give you the opportunity to decline to receive any communications from other parties to whom we may provide such information.
The data we collect is used in the aggregate to give us demographic information about the entire audience registering their products. We use this to understand that audience and to improve our offerings to you, our customers.