~LPINE.
Customer Care Registration
...
For easy on-line registration, go to
..
www.alpine-usa.com/registration
..
en
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Model
Vear:
_
6.
§EngineeringlTechnical
7.
Farming/Fishing
8.
Retired
9.
Student
10.0
Other _
Purchased
Vear:
_
.When
you purchased this Alpine unit, did you
compare it with other brands?
1.0Ves
2.0
No.
t
(Brand Name) _
•
Which
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
• Occupation
1.
~
Executive/Managerial
2.
Secretarial/Clerical
3.
Sales
4.
General Labor
5.0
Professional
• 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
• Type of vehicle
in
which this unit
is
installed.
Make: Model: _
• How was this vehicle purchased?
1.0
Bought
2.0
Leased
Vear:
_
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
16.0
Other _
• Model Number: _
• Serial Number: _
• Date of Purchase:
Month: _
• If navigation system, which monitor?
1.0
Alpine...., (Model
No.)
------------
2.0
Other...., (Brand Name)
----------
• Purpose of buying this unit?
1.0
Addition
2.0
Replacement....,
*Previous
brand replaced?
1.0
Factory installed
2.0
Alpine
3.0
Other _
• Have you purchased Alpine products before?
1.
0 First time
2.
0
Two
or more times
1.0Ves
2.0No
1.0Ves
2.0No
State/Provo
Zip
Code
May
we
contact
you
at
this address?
1.0
Ves
2.0
No
Last name: _
Home address:
=St-ree~t-ad~dr-es.,..s
-----------
City
Phone number: (
...:-_-----------
May
we
contact
you
at
this number?
E-mail Address:
May
we
contact
you
bye-mail?
• Gender
1.0
Male
2.0
Female
• Date of Birth Month:
Vear:
=----
• Marital Status
1.0
Single
2.0
Married
.Which
ethnicity best describes yourself:
1.
0 Caucasian
4.
0 Asian
2.0
Hispanic
5.0
Other _
3.
0 African-American
.Your
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: • 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
W
II:
W
::E:
...J
«
W
en
Thank
you
for
your
cooperation!
We
value
your
privacy.
This
information will remain confidential with Aipine
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
(3 pages)
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