Publicité
#7#'/iLPINE: Customer Care Registration
.....
For easy on-line registration, go to ..www.alpine-usa.com/registration..
Thank you for choosing Alpine! Please register your product with us so we can serve you better.
Model Year:
_
6.
0
EngineeringjTechnical
7.
§
Farming/Fishing
8.
Retired
9.
Student
10. DOther
_
Purchased Year:
_
II
How was this vehicle purchased?
1.
0
Bought
2.
0
Leased
_ When you purchased this Alpine unit, did you
compare it with other brands?
1.
DYes,j.
2.DNo.
(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
II
Occupation
1. 0 Executive/Managerial
2. 0 Secretarial/Clerical
3.
o
Sales
4. 0 General Labor
5. 0 Professional
II
Household Income
1. 0 Less than $30,000
4.
8
$70,000 - $90,000
2.
0
$30,000 - $50,000
5.
$90,000 - $110,000
3. 0 $50,000 - $70,000
6.
0
Over $110,000
II
Type
of vehicle in which this unit is installed.
Make:
Mod~l:
_
Year:
_
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
_
II
Model Number: - - - - - - - - - - - - -
II
Serial Number: - - - - - - - - - - - - -
II
Date of Purchase:
Month:
_
II
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
II
If navigation system, which monitor?
1.0 Alpine
~
(Model No.)
_
2.0 Other
~
(Brand Name)
_
II
Purpose of buying this unit?
1. 0 Addition
2.0 Replacement
~
*Previous brand replaced?
1.0 Factory installed
2.0 Alpine
3.0 Other
_
II
Have you purchased Alpine products before?
1.
0 First time
2.0 Two or more times
City
State/Provo
Zip
Code
May we contact you at this address? 1. 0 Yes 2. 0 No
Phone number: (
- - - - - - - - - - - - - - -
May we contact you at this number?
1. 0 Yes 2. 0 No
E-mail Address:
-----------=:----=~-
May we contact you bye-mail?
1. 0 Yes 2. 0 No
_ Gender
1.0 Male
2.0 Female
_ Date of Birth
Month:
Year:
- - - -
_ 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-Americ~n
_Your highest level of education completed:
1.0 High School Student
SWR-M100
814
2. 0 High School Graduate
111""I1I1"IIII""'II""I1I~III"II""11
3. 0 2 Yr. Degree/Some College
SER. NO.
CE
4. 0 Completed 4 Yr. College
5. 0 Completed Graduate School
First name:
_
Last name:
--,...
_
Home address:
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:::E:
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W
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
Publicité
