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Required Information
First Name
Middle
Last Name
Address
Address 2
Town / County (enter both)
Postal Code
Country
Phone
Email
(Select One)
UK - United Kingdom
AL - Albania
AD - Andorra
AM - Armenia
AT - Austria
AZ - Azerbaijan
BY - Belarus
BE - Belgium
BA - Bosnia & Herzegovina
BG - Bulgaria
HR - Croatia
CY - Cyprus
CZ - Czech Republic
DK - Denmark
EE - Estonia
FI - Finland
FR - France
GE - Georgia
DE - Germany
GR - Greece
HU - Hungary
IS - Iceland
IE - Ireland
IT - Italy
KZ - Kazakhstan
LV - Latvia
LI - Liechtenstein
LT - Lithuania
LU - Luxembourg
MK - Macedonia
MT - Malta
MC - Monaco
ME - Montenegro
NL - Netherlands
NO - Norway
PL - Poland
PT - Portugal
RO - Romania
RU - Russian Federation
SM - San Marino
RS - Serbia
SK - Slovak Republic
SI - Slovenia
ES - Spain
SE - Sweden
SW - Switzerland
TR - Turkey
UA - Ukraine
VA - Vatican City State
Preferred Method of Contact:
Phone
Email
Age
Gender
Household Income
I Plan to Buy a Spa in
(Select)
20-29
30-39
40-49
50-59
60-over
Ever 29
(Select)
Female
Male
Rather not say
(Select)
< 50K
50-75K
76-100K
101-125K
126K+
Rather not say
(Select One)
Immediately
1 to 6 months
6 months to a year
1 year to 2 years
Not planning to buy
Already own a spa
Please check all that apply:
I have recently visited a Marquis Spas dealer.
I have recently purchased a Marquis spa.
I would like information on spa chemical and accessories.
I would be willing to participate in future surveys regarding my Marquis spa.
Optional Information
I heard about Marquis SpasĀ® through:
Another Spa Owner
Exhibition
Internet
Local Dealer
Magazine
Newspaper
Radio
Television
Yellow Pages
Current/Past Marquis Spa Owner
Other:
I actively participate in the following activities:
Cycling
Entertaining
Boating
Golf
Home Improvement
Walking
Camping
Fishing
Gardening
Music
Motorcycles
Tennis
Yoga/Exercise
Running
Other:
Tell us more about the spa you are interested in:
Where will you be placing your new spa?
Indoors
Outdoors
Is the location you've selected been prepared for a spa (and requires no construction)?
Yes
No
How many people does your spa need to accommodate?
1-2
3-4
5-6
7+
Marquis will forward your information to your local dealer, please tick this box if you would not like us to share this information with our other business partners who provide spa related products and services.
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