$'#'/iLPINE.
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.
•
Model Number:
_
•
Serial Number:
_
•
Date of Purchase:
~
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
3.00ther
_
•
Have you purchased Alpine products before?
1.0
First time
2.0
Two
or more times
•
How was this vehicle purchased?
1.0
Bought
2.0
Leased
6.
§
EngineeringlTechnical
7.
Farming/Fishing
8.
Retired
9.
o
Student
10.00ther
_
en
m
>
r-
::I:
m
:II
m
Model
Year:
_
Purchased
Year:
_
•
Household Income
1.0
Less than $30,000
4.0
$70,000 - $90,000
2.0
$30,000 - $50,000
5.0
$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:
_
•
When you purchased this Alpine unit, did you
compare
it
with other brands?
1.0Yesj.
2.0No.
(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.
~
Executive/Managerial
2.
Secretarial/Clerical
3.
Sales
4.
General Labor
5.
0
Professional
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
16.00ther
_
•
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:
"'S'=ree::-':::ad""dr=es::c
s
-----------
City
Slale/Prov,
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
3.02
Yr.
Degree/Some College
4.0
Completed 4
Yr.
College
5.0
Completed Graduate School
w
a:
w
J:
~
<C
w
en
Thank
you
for
your
cooperation
l
We
value
your
privacy.
This
information
will
remain
confidential
with
Alpine
and
its
affiliates.
Customer
Care
Registration
is
for
Product
regislra1ion
Failure
to
complete
and
return
this
card
does
not
diminish
your
warranty
rights.
PART
NO.
68P04190K01-A