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 so we can best serve you with product support. Plus, you can sign up for Clarisonic Email and gain access to sneak previews of new product introductions, exclusive offers, special event invitations, and great insider skin care tips.

Fields marked with * are required.

* First Name * Last Name * Address Line 1 Address Line 2 * City * State / Province --- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan * Postal Code Telephone Number (10 Digit) Email Address

Date Purchased

* Month --- January February March April May June July August September October November December * Year --- 2005 2006 2007 2008 2009

* Where did you purchase your Clarisonic? --- Doctor’s Office Retail Store Online Spa QVC Other How did you first hear about Clarisonic? --- 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? --- 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? --- Physician's Office Department Store Drugstore Online Spa Other Are you a skin care professional? --- 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?

I am --- 15-20 21-25 26-35 36-45 46-55 56-65 Over 65

Email Updates

Would you like to gain access to new product announcements, exclusive offers and great insider skin care tips? Sign up for Clarisonic Email Updates!

Clarisonic respects your privacy: we do not share your information. You may unsubscribe at any time.

Yes, I'd like to receive Clarisonic Email Updates No, thanks

Registration

Note: Depending on where you purchased your Clarisonic Skin Care System, you may have a registration code printed on your registration card. If you do not have a registration code, please leave this field blank and continue the registration process.

Registration Code

Register