~/iLPINE.
Customer Care Registration
~
For easy on-line registration, go to
..
www.alpine-usa.com/registration
..
Thank
you for choosing Alpine! Please register
your
product with us so
we
can serve you better.
IiI!II
Model Number: _
IIISerial Number: _
C)
Ii
Date of Purchase:
Month:
Year:
_
~
Ia If navigation system, which monitor?
1.0
Alpine
-7
(Model
No.)
------------
2.0
Other
-7
(Brand Name)
-----------
PfJ
Purpose of buying this unit?
1.0 Addition
2.0
Replacement
-7
*Previous brand replaced?
1.0
Factory installed
2.DAlpine
3.0
Other _
• Have you purchased Alpine products before?
1.
0 First time
2.
0 Two or more times
• How was this vehicle purchased?
1.0
Bought
2.0
Leased
• When you purchased this Alpine unit, did you
compare it with other brands?
1.0Ves!
2.0
No.
(Brand Name) _
.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
on
of the first of my friends to know about the
newest car
5.0
I usually know more about cars than
my
Iriends
q)
1m
Occupation
"
1.0
Executive/Managerial
6.0
Engineering!Technical
,
2.0
SecretariaVClerical
7.
0 Farming/Fishing
:
3.0
Sales
8.
D Retired
4.0
General Labor
9.
D Student
5.0
Professional
10.
D Other _
fill
Household Income
1.0
Less than $30,000
4.0
$70,000 - $90,000
2.
D $30,000 - $50,000
5.0
$90,000 - $110,000
3.
D
$50,000·
$70,000
6.
DOver
$11
0,000
IilType
of vehicle
In
which this unit
is
installed.
Make: Model: _
W
II:
W
:t:
..J
<
W
en
First name: _
Last name: _
Home address:
""5:::1"':::8""'1
a"'ddr.r.r~8.:::.-------------
City
StatelProv,
Zip
Code
May
we
contact
you
at this address?
1.0Ves
2.0
No
Phone number: (
-----------==-----==--
May
we
contact
you
at this number?
1.0Ves
2. D
No
E-mail Address:
-----------=:-------:=--
May we contact
you
bye-mail?
1.0Ves
2.0
No
• Gender
t.
D Male
2.
D Female
• Date of Birth Month:
Year.
=-----
• Marital Status
1.
D Single
2.0
Married
.Which
ethnicity best describes yourself:
1.
D Caucasian
4.0
Asian
2.0
Hispanic
5.
D Other _
3.0
African-American
• Your highest level
of
education completed:
1.0
High
SChool
Student
2.0
High School Graduate
3.
D 2 Yr. Degree/Some College
4.
D Completed 4
Yr.
College
5. D Completed Graduate School
• Product purchased
1.
0 Cassette Player
2.0
CD Player
30MD
Player
4,0
DVD Player
5.0
CD Changer
6.0
Amplifier
7.
0 Speaker
8.
0 Subwoofer
9,
0 Monitor Controller
10,OVideo
Monitor
11
.D Navigation
12.0
Mobile Mayday
13.
0 Video Tape Player
14,
D Processor/Equalizer
15.0
Security
16.0
Other _
Purchased Year: _
Model
Year:
_
en
m
J:a
r-
:t:
m
:II
m
Thank you for your cooperation! We value your privacy. This information will remain confidential wilh 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.
68P04190K17-A
M3544084010
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