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IRH OWNER WARRANTY INFORMATION
Name:
Address:
City: State: Zip:
Rider's Age: Sex: Purchase Date:
IRH Model # Brand Name:
Purchased Helmet From:
Name of Retailer:
Address:
City: State: Zip:
Did you try helmet on before purchase? Yes: No:
Did you shop for this helmet at another store before purchasing
this one? Yes: No:
If yes where? Name of Store:
Address:
City: State: Zip:
Why did you choose this helmet? (Check all that apply)
Quality Friends Recommendation Shape
Fit IRH Brand
Other
Is this the first helmet the rider has owned? Yes No
If No, what model is this replacing?
Why are you replacing it?
Regarding the parents helmet usage, check which
statement applies:
Neither of us ride horses.
One or both of us ride horses, but we don't own helmets.
We go riding, but we usually don't wear the helmets we have.
We go riding and wear our helmets regularly.




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