.#/#"ALPINE. 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.
Model Number: _
• Serial Number: _
• Date of Purchase:
c)
Month:
Year:
If navigation system, which monitor?
1.0
Alpine --7 (Model
No.)
_
2.0
Other --7 (Brand
Name)
_
• Purpose of buying this unit?
1.
0 Addition
2.0
Replacement --7
*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
6.
0 Engineering!Technical
7.
0 Farming/Fishing
8.8
Retired
9.
Student
10.0
Other'
_
How was this vehicle purchased?
1.
0 Bought
2.
0 Leased
(J)
m
»
r-
::I:
m
:c
m
Model
Year:
_Purchased
Year:
_
When you purchased this Alpine unit, did you
compare it with other brands?
1.0Yes
2.0No.
J,
(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
friends
Occupation
1.
~
Executive/Managerial
2.
Secretarial/Clerical
3.
Sales
4.
General Labor
5.
0 Professional
Household Income
1.8
Less
than
$30,000
4.0
$70,000 - $90,000
2.
$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
10.0
Video Monitor
11
.0 Navigation
12.0
Mobile Mayday
13.0
Video
Tape
Player
14.0
Processor/Equalizer
15.0
Security
16.0
Other _
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
First name: _
Last name: _
Home address:
=St-re~et-ad~dr-es-s-----------
City
State/Provo
Zip
Code
May
we
contact
you
at
this address?
1.0
Yes
2.0
No
Phone number: (
---------------
May
we
contact
you
at
this number?
1.0
Yes
2.0
No
E-mail Address:
-----------==------;=--
May
we
contact
you
bye-mail?
1.0Yes
2.0
No
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
UJ
a:
UJ
::I:
...J
«
UJ
(J)
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.
68P04190K17-A
M3544084010
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