CJ)
m
>
r-
:I:
m
J:I
m
Model
Vear:
_
6.
§EngineeringiTechnical
7.
Farming/Fishing
8.
Retired
9.
oStudent
10.0
Other _
Purchased
Vear:
_
• How was this vehicle purchased?
1.0
Bought
2.0
Leased
• 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 $110,000
.Type
of vehicle
in
which this unit is installed.
Make: Model: _
• When you purchased this Alpine unit, did you
compare it with other brands?
1.0Yes
2.0No.
J.
(Brand Name) _
• Which of the following statements best describes you?
1.8
I usually have more electronic equipment than
my
friends
2.
I
am
usually one of the first of
my
friends to buy the newest
electronic equipment
3.
0 I usually wait until a product has been out for a while before
I purchase
it
4.0
I
am
usually
on
of the first of
my
friends
to
know about the
newest car
5.0
I usually know more about cars than
my
friends
• Occupation
1.§Executive/Managerial
2.
Secretarial/Clerical
3.
Sales
4.
General Labor
5.0
Professional
Year:
_
9.
0 Monitor Controller
10.0Video
Monitor
11
.0 Navigation
12.
0 Mobile Mayday
13.0
Video
Tape
Player
14.0
Processor/Equalizer
15.0
Security
16.
0 Other _
• Model Number: _
• Date of Purchase:
Month: _
• If navigation system, which monitor?
1.
0 Alpine
--7
(Model
No.)
_
2.0
Other
--7
(Brand Name) _
• Purpose of buying this unit?
1.0
Addition
2.0
Replacement
--7
*Previous
brand replaced?
1.0
Factory installed
2.0
Alpine
3.0
Other _
• Have you purchased Alpine products before?
1.0
First time
2.0
Two
or more times
LOVes
2.0No
1.0Ves
2.0No
State/Provo
"'Zlmp
r,COclVl
e
;;------
May
we
contact
you
at this address?
1.0
Ves
2.0
No
City
Phone number: (
-'----'-----------
May
we contact
you
at this number?
E-mail Address: _
Last name: _
Home address:
"'$u"'e""e1c;;a"'dd"'re""ss:-------------
• Your highest level of education completed:
1.0 High School Student
2.0
High School Graduate
3.0
2Yr. Degree/Some College
4.0
Completed 4
Vr.
College
5.
0 Completed Graduate School
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
ff$'/iLPINE.
Customer Care Registration
-.
For easy on-line registration, go to
..
www.alpine1.com/registration
..
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
[I:
W
:I:
~
<
W
CJ)
Thank you
for
your cooperation! We value your privacy. This information will remain confidential with Alpine and its affiliates.
PART
NO.
68P01434K37-0
To Next Page
Loading...
