About you
Title:*
* Required
Forename:*
* Required
Surname:*
* Required
Email:*
* Required
Confirm email:*
* Required
Telephone:*
* Required
House Number*:
* Required
Address1*:
* Required
Address2:
City*:
* Required
Postcode*: * Required Type of house:
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Bungalow
Semi-detached
Terraced
Apartment/flat
Detached
Other
Number of bedrooms:
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0
1
2
3
4
5+
Age of house in years:
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0 to 5
6 to 10
11 to 20
21 to 50
50+
Which room does this guarantee relate to:
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Kitchen
Utility room
Main bathroom
En-suite bathroom
Cloakroom/downstairs WC
Other
Number of adults in the home:
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0
1
2
3
4
5+
Number of children in the home:
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0
1
2
3
4
5+
About your product Please provide your Sales Order number (found on your registration card) *: * Required Product Type *:
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Kitchen
Bathroom
Other
* Required Range Name:
select product type first
How did you hear about Ellis Furniture:
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Recommendation from a friend
Previously used Ellis
Visited local retailer
Web search
Saw Ellis in a magazine/newspaper
Other
What was the main reason for the purchase:
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As part of a house extension
As part of moving house
Replacement of existing bathroom/kitchen
Other
What was the main reasons you chose Ellis Furniture:
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We had Ellis before
The retailer recommended Ellis
We liked the display in the showroom
We could see Ellis was a very high quality product
We could see Ellis was excellent value for money
Other
What was your budget for this overall project:
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up to £2,500
£2,500 to £5,000
£5,000 to £7,500
£7,500 to £10,000
£10,000 to £15,000
£15,000 to £20,000
£20,000 +
Did your new Ellis Furniture meet your expectations:
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Yes
No
If no please explain where improvements are required:
About your retailer Supplier/retailer name: Town: Postcode: Date of purchase:
Other information Would you recommend Ellis to a friend?:
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Yes
No
If no please explain where improvements are required:
Do you have plans for other kitchen/bathroom projects?:
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Yes
No
Specifically what room are you thinking about?:
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Kitchen
Utility room
Main bathroom
En-suite bathroom
Cloakroom/downstairs WC
Other
If Yes when were you planning on carrying out the work?:
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In the next month
In the next 3 months
In the next 6 months
In the next 9 months
In the next 12 months
Other
Comments: