Diamondback MULTI-SPEED Owner's Manual page 36

Date of
Purchase:
Month Day Year
What model bike do you have? *
Assault Axis
Della Cruz 2.0 Edgewood
Mission 1 Mission 2
Peak Podium 1
Podium 5 Response
Strike DH Wildwood
XSL XSL Trail
Other (specify)
* *
What is your bike's serial number? What is your bike's serial number? What is your bike's serial number? What is your bike's serial number? What is your bike's serial number? What is your bike's serial number?
(see diagram on inside front cover for location)
Purchased from ( dealer name ) ?
Dealer's Price paid
state:
( excluding sales tax )
Reasons you purchased a Diamondback:
Received as a gift Received as a gift Advertisement Advertisement
Color/Appearance Color/Appearance Frame/Design/Materials Frame/Design/Materials
Quality/Durability Quality/Durability Family/Friend Recommendation Family/Friend Recommendation
Comfort/Fit Comfort/Fit Value/Price Value/Price
Diamondback's Reputation Diamondback's Reputation Other Other
Other brands considered ?
*
What is your bike's
model year?
Century Coil 24
Kalamar Maravista
Octane Octane 24
Podium 2 Podium 3
Response Comp Response Sport
Wildwood DLX Wildwood Citi
XTS XTS Moto
0 0
$
.
:
Prior experience with brand Prior experience with brand
Component selection Component selection
Weight of bicycle Weight of bicycle
Sales person's recommendation Sales person's recommendation
Please Register Your Bike Online At www.diamondback.com
If you do not have access to a computer, please complete the form below and return within the next 10 days. Notates required fi elds.
*
First Name:
*
Last Name:
Coil EX
Menona
Outlook
Date of birth:
Month
Podium 4
Sorrento
Gender: Male Male
Wildwood Tandem
Marital status: Married Married
Email
Address:
Street & Apt No.
Street
*
Address:
City
*
Zip Code
*
Annual
Under $20,000 Under $20,000
Income:
$20,000 – $50,000 $20,000 – $50,000
$50,000 – $75,000 $50,000 – $75,000
You Spouse
Occupation
(Check all
:
that apply)
Daytime phone:
Day Year
Female Female
Single Single
Evening phone:
Country
$75,000 – $100,000 $75,000 – $100,000
Over $100,000 Over $100,000
You
Professional/Technical
Upper Management/Executive
Middle Management
Sales/Marketing
Retired
*
Middle
Initital:
-
-
- -
State
*
Spouse
Clerical/Service Worker
Tradesman/Machine Operator/Laborer
Student
Housewife