DfW/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.
Phone number: (
----------------
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• How was this vehicle purchased?
1.0Buy
2.
0 Lease
• Date of Purchase: Month:
Year:
_
• If you purchased a navigation system, which
AN
Head unit did you purchase?
1.0
Alpine
-4
(Model No.)
2.0
Other
-4
(Brand Name
7
)------------
• Purpose of buying this unit:
1.
0 Addition
2.
0 Replacement
-4
Previous brand replaced?
1.0
Factory installed
2.0
Alpine
3.
DOther
_
• When you purchased this Alpine unit, did you
compare it with other brands?
1.DYes
2.DNo.
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.DOther:
_
fill
Have you purchased Alpine products before?
1.DYes
2.DNo
I;
Please tell us the type of vehicle you installed the
Alpine component(s) into:
Make: Model: _
Model
Year:
_
6.
0 EngineeringlTechnical
7.
oAgriculture
8.
oRetired
9.
oStudent
10.
DOther
_
7. 0 Subwoofer
8.
0 Multi-Channel Solution
9.
0 Rear Seat Entertainment
10. 0 iPod Solutions
11.
o Marine
12.
DOther
_
• Serial Number: _
• Occupation
1.
0 Executive/Managerial
2.0
Secretarial/Clerical
3.
0 Sales
4.0
General Labor
5.0
Professional
II
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: _
1.DYes
2.DNo
Zip/Postal Code
State/Provo
City
E-mail Address:
----------------
May we contact you?
First name: _
Last name: _
Home address:
"'StC":re-:-:et-cad""d""re.,.,ss------------
• 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.
68-14470Z30-A
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