~/iLPINE.
Customer Care Registration
-.
For easy on-line registration, go to
..
www.alpine-usa.com/registration
..
(/)
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Model
Vear:
_
6.
~
Engineering/Technical
7.
Farming/Fishing
8.
Retired
9.
Student
10.00ther"
_
Purchased
Vear:
_
• When you purchased this Alpine unit, did you
compare it with other brands?
1.0Ves
2.0No.
J..
(Brand Name) _
•
Which
of
the
following statements best describes
you?
1.
8I 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.
0 Executive/Managerial
2.
0 SecretariaVClerical
3.
0 Sales
4.
0 General Labor
5.0
Professional
• 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: _
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: _
• Serial Number: _
• Date of Purchase:
tV
Month:
Vear:
.,
r •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
3.00ther
_
• Have you purchased Alpine products before?
1.0
First time
2.0
Two
or more times
1.0Ves
2.0No
1.0Ves
2.0NO
StatelProv.
Zip
Code
May
we
contact
you
at
this address?
1.0
Ves
2.0
No
City
Last name: _
Home address:
"'St=ree=t"'ad""d'=-=es=-s-----------
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
a:
w
::E:
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W
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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.
68P04190K01-A
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