~ALPINE.
Customer Care Registration
~
For easy on-line registration, go to ··www.alpine-usa.col11/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:
0>
Month:
Year:
}
• If navigation system, which monitor?
1.0 Alpine
~
(Model No.)
_
2.0 Other ~ (Brand Name)
- - - - - - - - - - - -
• Purpose of buying this unit?
1.0 Addition
2.0 Replacement ~
*Previous brand replaced?
1.0 Factory installed
2.0 Alpine
3.0 Other
_
• Have you purchased Alpine products before?
1. 0 First time
2.0 Two or more times
6.
~
EngineeringlTechnical
7.
Farming/Fishing
8.
Retired
9.
Student
10.0 Other
_
• How was this vehicle purchased?
1.0 Bought
2.0 Leased
en
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Model Year:
_
Purchased Year:
_
I!iVWhen 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. 0 Executive/Managerial
2.0 Secretarial/Clerical
3. 0 Sales
4. 0 General Labor
5. 0 Professional
• Household Income
1.0 Less than $30,000
4.
8
$70,000 - $90,000
2.0 $30,000 - $50,000
5.
$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
_
III
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='e"'et"""'ad""d=res=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?
1.0 Yes 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. 0 2 Yr. Degree/Some College
4.0 Completed 4 Yr. College
5.0 Completed Graduate School
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Thank you for your cooperation
I
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
