Sharp AQUOS LC-15S5U - Page 41

SHAR~
IMPORTANTI IMPORTANTI
Please complete and return within the next 10 daysl
Or register ONLINE at www.sharpusa.com
1.1. D Mr.
First Name
2. D Mrs.
3. D Ms.
4. D Miss
Initial Last Name
MLH01-01
TV
Street
Apt. No.
City
State ZIP Code
E-mail Address:
7. Did you purchase an extended service plan for this product?
1. DYes 2. D No
8. Where did you purchase this product?
2. Your date of birth:
Month
3. Marital status: 1. D Married
4. Date of purchase:
Month
5. Model number:
6. Serial number:
(on back of unit)
Day
Year
2. D Single
Year
13. What other brands of TVs did you seriously consider before selecting this
Sharp product?
01. D No Other Brands Considered 12. D Apex
02. D RCA 13. D Toshiba
03. D Zenith 14. D Sanyo
04. D Sony 15. D Fisher
05. D Hitachi 16. D JVC
06. D GE 17. D Advent
07. D Sylvania 18. D Emerson
08. D Magnavox 19. D Philips
09. D Panasonic 20. D Mitsubishi
10. D KLH 21. D Samsung
11. D LG Electronics 22. D Other
14. Not including yourself, what is the GENDER and AGE (in years) of children and
other adults liVing in your household?
1. D No one else in household 2. D Child under 1 year
Male Female Age Male Female Age
1. D 2. D
yrs.
1. D 2. D
yrs.
9. Where did you first learn about this Sharp product? (check only one)
1. D Salesperson 5. D In-Store Display
2. D Friend/Relative 6. D Retailer's Ad
3. D Magazine Article or Review 7. D Product Carton
4. D Sharp Website 8. D Other
10. What were the two most important factors that influenced your selection
of this product? (check up to two)
01. D Sharp reputation 08. D Durability
02. D Prior experience with Sharp 09. D Portability
03. D Style/Appearance 10. D Recommended by
04. D Unique features a friend/relative
05. D PriceNalue 11. D Recommended by
06. D Product size a salesperson
07. D Warranty 12. D Other
11. Please check the location where this unit will be used.
1. D Living Room 6. D Basement
2. D Adult's Bedroom 7. D Home Office
3. D Child's Bedroom 8. D Mobile HomefTrailer
4. D Family/Rec Room 9. D Other
5. D Kitchen
12. Which of the following products do you currently own or intend to purchase
PLEASE CONTINUE ON BACK ~ ~ ~
17. Which group describes your annual family income?
01. D Under $15,000 08. D $75,000-$99,999
02. D $15,000-$19,999 09. D $100,000-$124,999
03. D $20,000-$29,999 10. D $125,000-$149,999
04. D $30,000-$39,999 11. D $150,000-$174,999
05. D $40,000-$49,999 12. D $175,000-$199,999
06. D $50,000-$59,999 13. D $200,000-$249,999
07. D $60,000-$74,999 14. D $250,000 & over
18. Level of education: (check highest level completed)
1. D Completed High School
2. D Completed College
3. D Completed Graduate School
19. Which credit cards do you use regularly?
1. D American Express, Diners Club
2. D MasterCard, Visa, Discover
3. D Department Store, Oil Company, etc.
4. D Do not use credit cards
1. D 2. D
yrs.
Spouse
1. D
2. D
3. D
4. D
5. D
6. D
Spouse
1. D
2. D
3. D
4. D
5. D
6. D
7. D
yrs.
1. D 2. D
15. Occupation: (check all that apply) You
ProfessionalfTechnical...... D
Upper Management/Executive D
Middle Management D
Sales/Marketing D
Clerical/Service Worker D
Tradesman/Machine Operator/Laborer... D
16. Are you or your spouse: You
A Homemaker? D
Retired?................................................. D
A Student? .. D
Self Employed/Business Owner? D
Working from a Home Office? D
In the Military? D
A Veteran? D
(B)
Intend to Buy
D
D
D
D
D
D
D
D
D
D
D
D
D
within the next 6 months? (A)
Currently Own
Digital Television D 01.
TV Larger Than 27" D 02.
LCD Television D 03.
Projection TV............ D 04.
Combination TV D 05.
Camcorder D 06.
Digital Satellite............................................ D 07.
LCD Projector D 08.
Dolby Digital (AC-3) Audio System............. D 09.
Home Theater Audio System D 10.
(PVR) Personal Video Recorder.................. D 11.
HDTV Receiver............................................ D 12.
Wireless Video Receiver D 13.