Clarisonic Skin Care Brush Product Registration

Thank you for your purchase of the Clarisonic® Skin Care System. Clarisonic’s Skin Care System goes beyond cleansing by using sonic technology for daily skin restoration, working deeply but gently to clear pores of daily damaging impurities. Clarisonic removes six times more makeup compared to traditional cleansing, cleans your skin so well that products absorb better, and leaves your skin feeling and looking smoother.

Please register your Clarisonic with us so that we can best serve you with support and, with your permission, contact you with product updates and offers.

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Your Contact Information

*First Name:

*Last Name:

*Address 1:

Address 2:

*City:

*State / Province:
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Telephone Number (10 Digit):

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Purchase Information

*Date Purchased: Month January February March April May June July August September October November December Year Purchased: Year 2005 2006 2007 2008

*Where did you purchase your Clarisonic? Select Doctor’s Office Retail Store Online Spa Other

How did you first hear about Clarisonic? Select Aesthetician Doctor Medical Staff Retail Store Website Magazine Family Member or Friend It was a gift Television Other

Who or what most influenced your decision to purchase the Clarisonic? Select Aesthetician Doctor Medical Staff Retail Store Website Magazine Family Member or Friend It was a gift Television Other

Where do you typically purchase your skin care products? Select Physician's Office Department Store Drugstore Online Spa Other

Are you a skin care professional? Select No Aesthetician Physician Medical Assistant Nurse

Which aspects of skin care interest you?

Hyperpigmentation

Sun damage

Fine lines & wrinkles

Breakouts

Blackheads

Pore size

Excessive Oil

Acne

Rosacea

Redness / Inflammation

Dry patches, dryness

Seborrheic Dermatitis

Keratosis Pilaris

Eczema

Psoriasis

Scars

Broken capillaries

Ingrown hairs

Razor bumps

Your gender?

Female Male

Your age group? Select 15-20 21-25 26-35 36-45 46-55 56-65 Over 65

Would you like us to contact you with product updates and offers? We never share your information. You may unsubscribe at any time.

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Registration

Registration Code:

Note: the registration code is printed on the back side of the quick start card included in the box. It can be found in the lower left corner. It is 11 alpha-numeric characters long. This code is required to redeem any promotional offers.