Alpine HCE-C115 - Page 20

~/ILPINE . Customer Care Registration
-~~~-~For easy on line registration, go to" www . alpi ne-usa.com/registrat i on"
Thank you for choosing Alpine! Register your product to protect your investment and receive up-to-date product information .
First name :
Last name : ________________ ____________ __ _
Home address : -=--c-,.,---------------
street addre ss
City State/ Pro v.
Zip/Postal Code
Phone number : (
~--~-----------------------
E-mail Address : ______________ _
May we contact you? 1.0 Yes 2.0 No
• Gender 1 .0 Male 2 .0 Female
• Date of Birth Month :
:...._ ______ _
Year : __ ____ _
•
Marital Status 1. D Single 2. D Married
•Which ethnicity best describes yourself :
1.
D Caucasian 4. D Asian
2. 0 Hispanic 5. D Other _____ _
3.
D African - American
•Your highest level of education completed :
1.
D High School Student
2. 0 High School Graduate
3. 0 2 Yr . Degree/Some College
4. D Completed 4 Yr. College
5. D Completed Graduate School
• occupation
1. 0 Execut i ve/Managerial
2. 0 Secretarial/Clerical
3 .0 Sales
4. 0 General Labor
5. D Professional
• Household Income
1. D Less than $30,000
2. D $3o.ooo- $5o . ooo
3. D $5o , ooo - $7o , ooo
6. D EngineeringfTechnical
7. 0 Agriculture
8. D Retired
9. D Student
10. D Other __________ _
4.
D $7o , ooo - $9o,ooo
5. 0 $90 , 000 - $110 , 000
6. D 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. D 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. D Factory Integration
Technology
4. 0 Installed Nav i gation
5. 0 Amplifier
6 .0 Speake r
7. 0 Subwoofer
8. D Mult i -Channel Solution
9. 0 Rear Seat Entertainment
10 . D iPod Solutions
11. 0 Marine
12 . 0 0ther _____________ _
•
Model Number: ____________ _
•
Serial Number : --------------
•Date of Purchase : Month: ___ Year: ___ _
•If you purchased a navigation system, which AN
Head unit did you purchase?
1. D Alpine -+ (Model No.).,....-----------
2. D 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. 0 Other ______ _
•when you purchased this Alpine unit , did you
compare it with other brands?
1 .0 Yes 2 .0 No .
If yes , select all that apply .
1. 0
Pioneer 2. D Kenwood 3. D Sony
4. D JVC 5. D JL 6. D Rockford
7. D Other : _____ _
•
Have you purchased Alpine products before?
1. D Yes 2. D No
• Please tell us the type of vehicle you installed the
Alpine component(s) into :
Make : ________ _
Model : ------
Model Year : __ _
•
How was this vehicle purchased?
1 .0 Buy 2 .0 Lease
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I Thank you for your cooperation! We value your pr ivacy . This information will remain confidential with Alpine and its affiliates . I
Customer Care Registration is for Product registration.
Failure to complete
and return this card does not diminish your warranty rights.
PART NO . 68-10872Z58-A
M354412501 0