Alpine SBS-05DC Application Guide - Page 7
ALPINE, Customer, Registration
UPC - 093276601118
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/ ALPINE Customer Care Registration mom♦ For easy on-line registration, go to "www.alpinel.com/registration" SEAL HERE 31:I3H 1V3S Thank you for choosing Alpine! Please register your product with us so we can serve you better. First name: Last name: Home address: S;reel inn inns Stale/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. O No E-mail Address: May we contact you by e-mail? 1.OYes 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. O Hispanic 5. O Other 3. O African-American • Your highest level of education completed: 1.0 High School Student si3S-ci)pc. 2.0 High School Graduate 3. O 2 Yr. Degree/Some College NN 4. O Completed 4 Yr. College SER. NO. CE 5.0 Completed Graduate School • Product purchased 1.0 Cassette Player 2.0CD Player 9. O Monitor Controller 10.0Video Monitor 3.0 MD Player 11.0 Navigation 4.0 DVD Player 5. O CD Changer 12.0 Mobile Mayday 13. O Video Tape Player 6. O Amplifier 14.0 Processor/Equalizer 7.0 Speaker 15.0 Security 8. O Subwoofer 16.0 Other • Model Number: • Date of Purchase: Month: Year • If navigation system, which monitor? 1.0 Alpine ---> (Model No.) 2. O Other (Brand Name) • Purpose of buying this unit? 1.H Addition 2.H 1-3ep!acement Previous brand replaced? 1.0 Factory installed 2.0 Alpine 3.D Other • Have you purchased Alpine products before? First time 2.0 Two or more times • When you purchased this Alpine unit, did you compare it with other brands? 1. 0 Yes 2.0 No. (Brand Name) ,.8 • Which of the following statements best describes you? usually have more electronic equipment than my friends 2. 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. O I am usually on of the first of my friends to know about the • H newest car 5.0 I usually know more about cars than my friends Occupation 1. Executive/Managerial 6. Engineering/Technical 2. Secretarial/Clerical 7. Farming/Fishing 3. Sates 8. Retired 4. General Labor 5. 0 Professional 9. Student 10. O Other • Household Income 1. Less than $30,000 2. $30,000 - $50,000 3. $50,000 - $70,000 4.R $70,000 - $90,000 5. $90,000 - $110,000 6.0 Over $110,000 • Type of vehicle in which this unit is installed. Make Model: Purchased Year: Model Year: • How was this vehicle purchased? 1.0 Bought 2.0 Leased Thank you for your cooperation! We value your privacy. This information will remain confidential with Alpine and its affiliates. PART NO. 68P41262Y26-O