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FUJ~f=ILM
4.
0
Miss
1. 1.0 Mr.
First Name
2.
0
Mrs.
3.0
Ms.
Initial
IMPORTANT! Please complete and return
within the next 10 days or register online at:
www.fujifilmusa.com/register
UYA02
Last Name
Sireel
Apt. No.
City
Slate
ZIP Code
E-mail Address
yrs.
yrs.
Spouse
01.
0
02.
0
03
0
04.
0
05.
0
06.
0
07.
0
08.
0
09
0
10.
0
11.
0
12.
0
13.
0
Male
Female
Age
yrs. 1. 0
2. 0
Age
Male
Female
1.
0
2.0
21. What type 01 inlernet access do you use al home?
1. 0
None
4. 0
DSL
2.
0
Dial up
5. 0
Satellite
3.
0
Broadband Cable
22. When new producls that have the latesl technologies appear
on the market, do you or someone in your household:
1. 0
Tend to buy such items as soon as they are
available?
2. 0
Tend to wail until the item has been around for a
while before buying?
18. Which group describes your annual lamily Income?
01. 0
Under $15,000
08. 0
$75,000-$99,999
02.
0
$15,000-$19,999
09.
0
$100,000-$124,999
03.
0
$20,000-$29,999
10.
0
$125,000-$149,999
04.
0
$30,000-$39,999
11.
0
$150,000-$174,999
05.
0
$40,000-$49,999
12.
0
$175,000-$199,999
06.
0
$50,000-$59,999
13.
0
$200,000-$249,999
07. 0
$60,000-$74,999
14. 0
$250,000 & over
19. Level of education: (check highest level completed)
1. 0
Completed High School
2. 0
Completed College
3.
0
Completed Graduate School
20.
For your primary residence, do you:
1. 0
Own?
2. 0
Rent?
1.
0
2.
0
yrs. 1.
0
2.
0
17. Occupalion/Employment Slatus:
You
(check all that apply)
ProfessionalfTechnical
0
Upper Management/Executive
0
Middle Management..
..
0
Sales/Marketing
0
Clerical/Service Worker
0
Tradesman/Machine Operator/Laborer
0
Teacher/Educator
..
0
Healthcare - Physician/Nurse/Other
0
Homemaker..
..
0
Military
0
Retired
0
Self Employed/Business Owner.
..
0
Work from Home Office
..
0
15.
II you use a digilal printer, eilher in·sludio or al home, for
some of your photographic needs, whal type is it?
1.
0
Inkjet
4.
0
Do Not Use
2.
0
Fujifilm Pictography 5.
0
Other
3.
0
Dye Sublimation
16.
Nof
including youtSell, whal is the GENDER and AGE (in years)
of children and other adults living in your household?
1.
0
No one else in household
2.
0
Child under 1 year
2. Your dale of birth:
/
Month
Year
3. Marilal slatus: 1.
0
Married
2.
o
Single
4.
Telephone number:
(
)
5.
Dale of purchase:
/
/
Month
Day
Year
8. Name 01 slore where purchased:
6. UPC number: 74101 -
7. Serial number: (see bottom 01 camera or inside battery cover)
9. Price paid (excluding sales tax):
$
.00
10.
Primary reason for purchase of Fujililm camera:
1. 0
Received as a Gift
5. 0
Pro Traditional
2.
0
Business
(portrait, landscape, etc.)
3.
0
SelflFamily
6. 0
Pro Non-Traditional
4.
0
Replacement Camera
(medical, law, etc.)
11. What types 01 pielures will this camera be primarily used
lor? (check all that apply)
1. 0
Family Activities
5. 0
Flowers/Close-ups
2.
0
Sporting Events
6. 0
Portraits
3.
0
Scenery
7. 0
Hobbies
4.
0
Vacations
8. 0
Other
12. What three (3) factors most influenced this purchase?
01. 0
Size
09. 0
Previous FUjifilm
02. 0
Zoom Range
Experience
03. 0
Resoiution/
10. 0
Friend/Relative
Megapixels
Recommendation
04. 0
Memory Type
11. 0
Dealer Recommendation
05. 0
PriceNalue
12. 0
MagazinelNewspaper
06. 0
Quality
Article
07. 0
Ease of Operation 13. 0
Other
08. 0
Fujifilm Reputation
13. Please indicate your level of photography:
1. 0
lstTime User
2.
0
Average Camera User
3.
0
Advanced Amateur
4.
0
Professional Commercial/Government
5.
0
Professional PortraitlWedding
6.
0
Professional Outdoor
14. To help us understand our customers' lifestyles, please indicate the inlerests and activilies in which you or your spouse enjoy participallng
on a regular basis.
Home Llle
Travel
Great OUldoors
01. 0
Grandchildren
15. 0
Airline ClublFrequent Flyer
27. 0
Hunting/Shooting
02. 0
Home Improvement/Do-It- Yourself
16. 0
Travel in USA
28. 0
Fishing
03. 0
Gardening
17. 0
Foreign Travel
29. 0
Camping/Hiking
04. 0
Own a Dog
18. 0
Cruise Ship Vacations
30. 0
Wildlife/Environmental Issues
05. 0
Own a Cat
19. 0
RV Vacations
31. 0
Boaling/Sailing
Leisure
20. 0
Casino Gambling
Sports, Filness & Heallh
06. 0
Cultural/Art Events
Investing and Money
32. 0
Physical Fitness/Exercise
07. 0
Avid Book Reading
21. 0
Shopping by Catalog/Mail Order
33. 0
Waiking for Health
08. 0
Bible/Devotional Reading
22. 0
Shopping by Internet
34. 0
Health/Natural Foods
09. 0
Gourmet Cooking/Fine Foods
23. 0
Use Credit Cards Regularly
35. 0
DietingiWeight Control
10. 0
Wines
24. 0
Donate to Charitable Causes
36. 0
Self-Improvement
11. 0
Art/Antique Collecting
25. 0
Investments/Money Making
37. 0
Galt
12. 0
Stamp/Coin Collecting
Opportunities
38. 0
Biking
13. 0
Crafts
26. 0
Contests/Sweepstakes
39. 0
Snowboarding/Snow skiing
14. 0
Sewing/Needlework/Knitting
40. 0
NASCAR
Thanks for taking the time to fill out this questionnaire. Your answers will be used for market research studies and reports. They
will
also allow you to receive important
mailings and special offers from a number of fine companies whose products and services relate directly to the specific interests, hobbies, and other information indi-
cated above. Through this selective program, you will be able to obtain more information about activities in Which you are involved and less about those in which you
are 110t. Please check here if, for some reason, you would prefer
nofto
participate in this opportunity.
0
Failure to return this card will nol diminish your warranty rights.
Copyright
C>
2007 All Rights Reserved
Please sea' with
tape.
00 not stap'e.
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