| First name | |
| Last name | |
| Company | |
| Address 1 | |
| Address 2 | |
| City | |
| State | |
| Zip code | |
| Country |
| Product | |
| Product ID (legacy) | |
| Date of purchase | |
| Serial number | |
| Dealer | |
| Invoice number |
| Has made previous ATT purchase | |
| Previous purchase brand | |
| Previous purchase brand other |
| ProPoints value | |
| Is product registration | |
| Is ProPoints adjustment | |
| Is verified purchase |