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ffffblLPINE.
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.
en
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»
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:E:
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:IJ
m
Model
Year:
_
6.
0 Engineeringlfechnical
7.
D Farming/Fishing
8.0
Retired
9.0S1udent
10.
OOther
-
Purchased
Year:
_
II
How was this vehicle purchased?
1.
D Bought
2.
0 Leased
II
Household Income
1.
0 Less than $30,000
4.
D $70,000 - $90,000
2.
0 $30,000 - $50,000
5.
D $90,000 - $110,000
3.
0 $50,000 - $70,000
6.
DOver
$110,000
II
Type
of
vehicle in which this unit is installed.
Make: Model: _
II
When you purchased
this
Alpine unit, dld.you
compare
it
with other brands?
1.DYes
2.0No.
t
(Brand Name)
__
--
_
II
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 myfriends 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.
D I
am
usually on of the first of
my
friends to know aboutthe
newest car
5.
D I usually know more about cars than
my
friends
II
Occupation
1.
0 Executive/Managerial
2.0
Secretarial/Clerical
3.
0 Sales
4.
D General Labor
5.
D Professional
Year:
_
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 _
II
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
II
Model Number: _
II
Serial Number: _
II
Date
of
Purchase:
Month: _
II
If navigation system, which monitor?
1.
0 Alpine
~
(Model No.)
------------
2.
0 Other
~
(Brand Name)
------------
II
Purpose
of
buying this unit?
1.
0 Addition
2.0
Replacement
~
*Previous
brand replaced?
1.0
Factory installed
2.0
Alpine
3.0
Other _
II
Have you purchased Alpine products before?
1.
0 First time
2.0
Two
or more times
First name: _
Last name: _
Home address:
-::::-:---:--~------------
Street address
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
II
Gender
1.0
Male
2.0
Female
II
Date
of
Birth Month:
Year:
----
II
Marita.1
Status
1.0
Single
2.0
Married
II
Which ethnicity best describes yourself:
1.
0 Caucasian
4.
0 Asian
2.
0 Hispanic
5.
0 Other _
3.
0 African-American
IIYour
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
W
II:
W
J:
...J
<C
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en
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.
68P04190K01-A