~/iLPINE.
Customer Care Registration
~
For easy on-line registration, go to
en
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Model
Vear:
_
Purchased
Vear:
_
o Household Income
1.0
Less
than $30,000
4.0
$70,000 - $90,000
2.0
$30,000 - $50,000
5.0
$90,000 - $110,000
3.0
$50,000 - $70,000
6.0
Over $110,000
OType
of vehicle in which this unit is installed.
Make: Model: _
oHow was this vehicle purchased?
1.
0 Bought
2.
0 Leased
oWhen you purchased this Alpine unit, did you
compare it with other brands?
1.
ovest
2.0No.
(Brand
Name) _
OWhich
of
the following statements
best
describes you?
1.0
I usually have more electronic equipment than
my
friends
2.
0 I
am
usually one of the first of
my
friends
to
buy the newest
electronic equipment
3.0
I usually wait until a product
has
been
out for a while before
I purchase it
4.0
I
am
usually
on
of the first of
my
friends
to
know about the
newest car
5.0
I usually know more about cars than
my
friends
c)
0 Occupation
1.0
Executive/Managerial
6.
~
EngineeringlTechnical
2.
~
Secretarial/Clerical
7.
Farming/Fishing
3.
Sales
8.
Retired
4.
General Labor
9.
Student
5.
Professional
10.0
Other _
9.
0 Monitor Controller
10.0
Video Monitor
11
.0 Navigation
12.0
Mobile Mayday
13.
0 Video
Tape
Player
14.0
Processor/Equalizer
15.0
Security
16.00ther
_
oModel Number: _
OSerial
Number: _
oDate of Purchase:
c)
Month:
Vear:
oIf navigation system, which monitor?
1.0
Alpine
-->
(Model No.)
------------
2.0
Other
-->
(Brand Name)
------------
oPurpose of buying this unit?
1.0 Addition
2.0
Replacement
-->
*
Previous
brand
replaced?
1.0
Factory installed
2.0
Alpine
3.00ther
_
oHave you purchased Alpine products before?
1.0
First time
2.0
Two
or more times
1.0Ves
2.0No
State/Provo
Zip
Code
May
we
contact
you
at
this address?
1.0Ves
2.0
No
City
Home address:
"'St=ree"'t:::ad""d,:::es:::-s
-----------
Phone number: (
------------==----=~
May
we
contact
you
at this number?
1.0Ves
2.0
No
E-mail Address:
----------;=~----=;--
Last name: _
May
we
contact
you
bye-mail?
oGender
1.0
Male
2.0
Female
o Date of Birth Month:
Vear:
=----
o Marital Status
1.0
Single
2.0
Married
OWhich
ethnicity best describes yourself:
1.0
Caucasian
4.0
Asian
2.0
Hispanic
5.0
Other _
3.
0 African-American
OYour
highest level of education completed:
1.
0 High School Student
2.0
High School Graduate
3.02
Vr.
Degree/Some College
4.
0 Completed 4
Vr.
College
5.0
Completed Graduate School
Thank
you
for choosing Alpine!
Please
register
your
product with
us
so
we
can
serve
you
better.
First name:
0 Product purchased
1.0 Cassette Player
2.0
CD
Player
3.0
MD
Player
4.
0
DVD
Player
5.
0
CD
Changer
6.0
Amplifier
7.0
Speaker
8.
0 Subwoofer
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en
Thank you for your cooperation! We value your privacy. This information will remain confidential with Alpine and its affiliates.
Customer
Care
Registration
is
for
Product
registration.
Failure
to
complete
and
return
this
card
does
not
diminish
your
warranty
rights.
PART
NO.
68P04190K17-A
M3544084010
(20 pages)
(2 pages)
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