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Alpine CDA-105 - Page 77

Alpine CDA-105
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.$#'/iLPINE,
Customer Care Registration
...
For easy on-line registration, go to
..
www.alpine-usa.com/registration
..
Thank
you for choosing Alpine! Register your product
to
protect
your
investment and receive up-to-date product information.
E-mail Address:
---------------
First name: _
Last name: _
Home address:
=St-re"""":"et-ad7":d-re-ss------------
en
m
»
r-
J:
m
~
m
How was this vehicle purchased?
1.
0 Buy
2.
0 Lease
Date of Purchase: Month: Year: _
If you purchased a navigation system, which
AN
Head unit did you purchase?
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
3.00ther
_
When you purchased this Alpine unit, did you
compare
it
with other brands?
1.0Yes
2.0No.
If
yes,
select
all
that
apply.
1.
0 Pioneer
2.0
Kenwood
3.0
Sony
4.0
JVC
5.0
JL,
6.0
Rockford
7.
0 Other: _
Have you purchased Alpine products before?
1.0Yes
2.0No
Please tell us the type of vehicle you installed the
Alpine component(s) into:
Make:
Model: _
Model
Year:
_
6.
0 Engineering/Technical
7.
0 Agriculture
8.0
Retired
9.
oStudent
10.
OOther
_
7.
0 Subwoofer
8.
0 Multi-Channel Solution
9.
0 Rear Seat Entertainment
10.
0
iPod
Solutions
11.0
Marine
12.00ther
_
Occupation
1.
0 Executive/Managerial
2.
0 Secretarial/Clerical
3.
0 Sales
4.
0 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
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
one
of the first of
my
friends
to
know about the
newest car
5.
0 I usually
know
more about cars than
my
friends
Product purchased
1.
0 Head unit
2.
0
AN
Head
unit
3.0
Factory Integration
Technology
4.0
Installed Navigation
5.
0 Amplifier
6.0
Speaker
Model Number: _
Serial Number: _
1.0Yes
2.0No
Zip/Postal
Code
State/Provo
May
we
contact
you?
City
Phone number: (
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-American
.Your
highest level of education completed:
1.
0 High School Student
2.
0 High School Graduate
3.02
Yr.
Degree/Some College
4.
0 Completed 4
Yr.
College
5.
0 Completed Graduate School
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.
68-10872Z57-A

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