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First Name:
Last Name:
Address:
Apt.#
City:
State:
Zip Code:
Phone Number:
E-Mail Address:
PRODUCT REGISTRATION
1)
Would you like to receive the JVC Community e-mail newsletter?
2) Would you like to receive special offers from JVC?
3)
Have you purchased an extended warranty for this product?
Date
of
Purchase
Model Number:
Serial Number:
Purchase
Pr~ce:
Dealer:
Yes
No
Yes No
Yes No
On a scale
of
1 to
5,
with 5 being the best, please rate each
of
the following attributes about your new
JVC product.
Performance
1 2 3 4
Features 1 2
3
4
Ease
of
use 1
2 3
4
Design 1 2 3
4
Value 1
2 3
4
COMMENTS:
BT-51044-1
(0208)
Instructions: Fold at crease and tape open edge in the middle.
5
5
5
5
5
Thank You
for completing
this questionnare.
Printed
in
Indonesia
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