Altec Lansing FX4021 - Page 10

ALTEC
~®
LANSING®
IMPORTANT! IMPORTANT!
Please complete and return within the next 10 days
or register online at www.prodregister.com/alleclansing
1.1.0 Mr. 2.0 Mrs.
First Name
3.0 Ms. 4.0 Miss
Inilial Lasl Name
XMA01-01
Sireet
Apt No.
City
Stale
ZIP Code
E-mail
5. 0 Plane
6. 0 Train
7. 0 Other
Living room
all ice
Rec or famiiy room
Other
5.0
6.0
7.0
8.0
11. Where do you plan 10 use this product? (check atl Ihat apply)
A) Indoors:
1. 0 Bedroom
2. 0 Children's bedroom
3. 0 Gym
4. 0 Kitchen
B) Ouldoors:
1. 0 Automobile
2. 0 Bicycling
3. 0 Camping/picnic
4. 0 Jogging
Year
2. 0 Single
Year
2. Your date ot birth:
/
Monlh
3. Marital slatus: 1. 0
Married
4. Dale 01 purchase:
/ /
Monlh Day
5. Model number:
(please see lower left or upper right corner of product front panel)
6. Name of store where purchased:
12. Nol including yourself, what is Ihe GENDER and AGE (in years)
of children and olher adulls living in your household?
1. 0 No one else in household 2. 0 Child under 1 year
Male Female Age
Male Female Age
18. For your primary residence, do you:
1. 0 Own? 2. 0 Rent?
19. How recently did you move into your currenl residence?
1. 0 Within 30 days 4. 0 7 to 12 months ago
2. 0 Within 1- 3 months 5. 0 Have not moved in
3. 0 Within 4 - 6 months the last 12 months
1. 0 2. 0 yrs. 1.
0 2. 0 yrs.
13. Dccupalion: (check all thaI apply)
You Spouse
ProfessionalfTechnical ..
0 1. 0
Upper ManagemenVExecutive ...
0 2.
0
Middle Managemenl..
0 3. 0
Sales/Marketing ..
0 4. 0
Clerical/Service Worker ..
0
5 0
Tradesman/Machine Operator/Laborer ..
0
6 0
14. Are you or your spouse:
You Spouse
A Homemaker? ..
0 1.
0
Retired?.
0 2. 0
A Student? ...
0
3. 0
Self Employed/Business Owner? ..
0
4.
0
Working from a Home Office? ..
0
5.
0
In the Military? ..
0 6.
0
A Veteran? ..
0 7.
0
15. Which group describes your annuallamily income?
01. 0 Under $15,000 08 0 $75,000-$99,999
02. 0 $15,000-$19,999 09. 0 $100.000-$124.999
03. 0 $20,000-$29,999 10. 0 $125.000-$149,999
04. 0 $30,000-$39,999 11. 0 $150.000-$174.999
05. 0 $40,000-$49,999 12. 0 $175.000-$199.999
06. 0 $50,000-$59.999 13. 0 $200,000-$249.999
07. 0 $60,000-$74.999 14. 0 $250.000 & over
16. Level of educalion: (check highest level compleled)
1. 0 Completed High School
2. 0 Completed College
3. 0 Completed Graduate School
17. Which credit cards do you use regularly?
1. 0 American Express. Diners Club
2. 0 MasterCard, Visa, Discover
3. 0 Department Store, Oil Company, etc.
4. 0 Do not use credit cards
yrs.
7-12
Monlhs
o
o
1.
2
1-6
Months
o
o
yrs. 1. 0 2.0
Buy/Lease a New Vehicle ..
Buy/Lease a Used Vehicle .....
1. 0 2.0
20. Which 01 the following do you plan 10 do wilhin Ihe next
6 or 12 months?
9. What olher brands did you seriously consider before making
Ihis purchase? (check alilhat apply!
01. 0 No other brand 11.
0
Klipsch
considered
12. 0 Koss
02 0 Belkin
13.
0
Labtec
03
0 Bose 14. 0 Logitech
04.
0 Creative
15. 0 Maxell
05.
0
Cyber Acoustics
16. 0 Philips
06.
0 Dell
17. 0 PI antra nics
07.
0 Harman/Kardon 18
0
Shure
08. 0 Jabra
19.
0
Sony
09.
0 JBL 20.
0 Other
10.
0
Kensington
7. Did you:
1. 0 Purchase this product yourself?
2. 0 Receive this product as a gift?
3. 0 Receive this product as a requested gift?
8. Whal most inlluenced your decision 10 purchase
Ihis producl? (check alilhat apply)
A) Factors
1. 0 Received as agift
2. 0 Advertisement
3. 0 Brand name
4. 0 Friend's/Relative's recommendation
5. 0 Packaging
6. 0 Price
7. 0 Product brochure
8. 0 Review in magazines
9. 0 Salesperson's recommendation
10. 0 Store display
B) Features
1. 0 Color design and style
2. 0 Power
3. 0 Size
4. [J Sound quality
10. With what do you plan 10 use this product? (check up 10 three)
01. 0 Boom box 12. 0 Portable cassette
02. 0 CD player player
03. 0 Portable CD player 13. 0 Portable FM/AM
04. 0 Cell phone radio
05. 0 Clock radio 14. 0 Portable MP3
06. 0 Desktop computer player
07. 0 DVD player 15. 0 iPod
08. 0 Portable DVD player 16. 0 Satellite radio
09. 0 Home theatre system 17. 0 Stereo rack system
10. 0 Micro desktop 18. 0 TV
audio system
11. 0 Notebook/Laptop
computer
PLEASE CONTINUE ON BACK ~ ~ ~