Sam’s Club Product Registration

Items marked with * are required.

Date of purchase: * Calendar
Product Purchased: *

First Name: *
Last Name: *
Address Line 1: *
Address Line 2:
City: *
State/Province/Region: *
Zip/Postal Code: *

Email Address: *
Telephone Number:
Household Income:

Example: Samsung
Example: 46 in
Location where flat panel was purchased:
This was my first flat panel purchase:
If no then specify number of flat panels owned:
Location where this flat panel is mounted:

This was my first time mounting a flat panel:
Method of installation used:
Satisfaction with information provided on box:
Satisfaction with info on installation template:
Satisfaction with info in instruction manual:
Ways we can improve the information provided:

I have called customer service (1.877.PLUGD.IN):
Customer service was able to help:
Reason for customer service call:
I visited before/while installing:
Please rate overall experience of purchase/install:
* required        
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OmniMount Customer Service
1181 Trapp Road
Saint Paul, MN 55121

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