Alpine SWR1042 Application Guide - Page 6
Customer, Registration
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/ ALPINE Customer Care Registration um For easy on-line registration, go to "www.alpinel.com/registration" SEAL HERE 31:13H 1V3S Thank you for choosing Alpine! Please register your product with us so we can serve you better. First name: Last name. Home address. Street address City State/Prov. Zip Code May we contact you at this address? 1.OYes 2.0No Phone number: ( May we contact you at this number? 1.D Yes 2.0 No E-mail Address: May we contact you by e-mail? 1.OYes 2.O No ■ Gender 1.O Male 2. O Female • Date of Birth month: Year: • Marital Status 1.O Single 2.0 Married • Which ethnicity best describes yourself: 1. D Caucasian 4 LI Asian 2. D Hispanic 5. H Other 3. D African-American illYour highest level of education completed: 1.O High School Student 2.ElHigh School Graduate 3.0 2 Yr. Degree/Some College 4. O Completed 4 Yr. College 5. O Completed Graduate School SWR-1242D 505 SER. N0.T50111298S CE i!NIitl9'i1ll1iliillli~lilldIfll111II • Product purchased 1.O Cassette Player 9. O Monitor Controller 2.0 CD Player 10.0 Video Monitor 3. O MD Player 11.O Navigation 4.O DVD Player 12.0 Mobile Mayday 5.OCD Changer 6.O Amplifier 13.0 Video Tape Player 14.0 Processor/Equalizer 7.O Speaker 15.0 Security 8.0 Subwoofer 16.0 Other • Model Number: • Date of Purchase: Month Year: • If navigation system, which monitor? 1.O Alpine (Model No.) 2.0❑Other (Brand Name) ▪ Purpose of buying this unit? 1.O Addition 2.0 Replacement *Previous brand replaced? 1.O Factory installed 2.0 Alpine 3.0 Other • Have you purchased Alpine products before? 1.L First time 2.0 Two or more times • When you purchased this Alpine unit, did you compare it with other brands? 1. L] Yes 2 ] No. (Brand Name) ▪ Which of the following statements best describes you? 1. m I 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 1 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 H6. Engineering/Technical 7. Farming/Fishing 8. Retired 4. General Labor 9. Student 5.0 Professional 10. O Other Ed • Household Income 1. Less than $30,000 2. $30,000 - $50,000 3.0 $50,000 - $70,000 4. $70,000 - $90,000 5. $90,000 - $110,000 6.0 Over $110,000 • ype of vehicle in which this unit is installed. Make: Model. Purchased Year: Model Year: • How was this vehicle purchased? 1. O Bought 2. O Leased I Thank you for your cooperation! We value your privacy. This information will remain confidential with Alpine and its affiliates. PART NO. 68P41262Y26-O