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FUJIFILM
4. [J Miss
1. 1.0
Mr.
Firsl Name
2.
lJ
Mrs.
3.
Ll
Ms.
Initial
IMJlUH IAN I! Jllease complete and return
within the next 10 days or register online at:
www.fujifilmusa.com/register
UYA02
Lasl Name
Slreel
Apt. No.
eily
State
ZIP Code
E·mail Address
2. Your dale 01 birth:
Month
3. Marital slatus: 1. LJ Married
4. Telephone number:
(
)
/
Year
2. 0
Single
15. If you use a digilal prinfer, eilher in-sludio or at home. for
some 01 your pholographic needs, whallype is i1?
1
0
Inkjet
4. 0
Do Nol Use
2.
0
Fujililm Pictography 5. LJ Other
3.
n
Dye Sublimation
16. Not including yourself, what is Ihe GENDER and AGE (in years)
01 children and olher adulls living in your household?
1. 0
No one else in household
2. 0
Child under 1 year
5.
Dale 01 purchase:
Male
Female
Age
Male
Female
Age
/
/
1.0 2.0
yrs. 1. [J
2.
0
yrs.
7. Serial number: (see bottom of camera or inside battery cover)
8.
Name 01 slore where purchased:
9. Price paid (excluding sales tax):
$
.00
10.
Primary reason lor purchase 01 Fujitilm camera:
1.
Received as a Gift
5. 0
Pro Traditional
2.
LJ
Business
(portrait, landscape, etc.)
3.
::::J
Sell/Family
6. 0
Pro Non-Traditional
4.
' : ' . 1
Replacement Camera
(medical, law, etc.)
11. Whallypes 01 pictures wililhis 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.
~J
Scenery
1. LJ Hobbies
4.
:~
Vacations
8. 0
Other
12. Whallhree (3) lactors mosl inlluenced Ihis purchase?
01.
0
Size
09. 0
Previous Fujifilm
02.
LJ
Zoom Range
Experience
03.
,..c
Resolution/
10. 0
Friend/Relative
Megapixels
Recommendation
04.
L
Memory Type
11. U
Dealer Recommendation
05.
LJ
PriceNalue
12.
[J
Magazine/Newspaper
06.
0
Quality
Article
07.
LJ
Ease of Operation
13. 0
Other
08.
C
Fujililm Reputation
13. Please indicale your level of photography:
1.
[J
1st Time User
2
0
Average Camera User
3.
0
Advanced Amateur
4.
0
Professional Commercial/Government
5.
[J
Prolessional PortraitlWedding
6.
[J
Professional Outdoor
6.
upe number:
14101 .
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
18. Which group describes your annual family 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?
21. What type ot inlernet access do you use al home?
,.
0
None
4. 0
DSL
2.
0
Dial up
5. 0
Satellite
3.
0
Broadband Cable
22. When new products that have the latest 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 waif until the item has been around for a
while belore buying?
1.
0
2.
[J
yrs. 1.
0
2.
0
17.
Occupation/Employmenl Slatus:
You
(check all that apply)
ProfessionalfTechnical
0
Upper Management/Executive
0
Middle Management..
..
0
Sales/Marketing.. ..
0
Clerical/Service Worker
[l
Tradesman/Machine Operator/Laborer
..
0
Teacher/Educator
0
Healthcare - Physician/Nurse/Other
0
Homemaker..
..
0
Military
0
Retired..
..
0
Sell Employed/Business Owner
0
Work from Home Ollice
[.1
Year
Day
Month
14, To help us understand our customers' lileslyles, please indicate the interests and activities in which you or your spouse enjoy participating
on a regular basis.
Home Lite
Travel
Great Outdoors
01. 0
Grandchildren
15. 0
Airline Club/Frequent Flyer
27. 0
Hunting/Shooting
02.
C
Home Improvement/Do-It- Yoursell
16. 0
Travel in USA
28. 0
Fishing
03.
[J
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
Boating/Sailing
Leisure
20. 0
Casino Gambling
Sports, Fitness & Health
06
::J
Cultural/Art Events
Investing and Money
32. 0
Physical Fitness/Exercise
07.
U
Avid Book Reading
21. 0
Shopping by Calalog/Mail Order
33. 0
Walking for Health
08.
Bible/Devotional Reading
22. []
Shopping by Internet
34. 0
Health/Natural Foods
09.
Gourmet Cooking/Fine Foods
23. 0
Use Credit Cards Regularly
35. 0
DietinglWeight Control
10. "
Wines
24. 0
Donate to Charitable Causes
36. 0
Self-Improvement
11.
Lj
ArVAntique Collecting
25. 0
Investments/Money Making
37. 0
Galt
12
0
Stamp/Coin Collecting
Opportunities
38. 0
Biking
13. 0
Cralls
26. 0
Contests/Sweepstakes
39. 0
Snowboarding/Snow skiing
14
0
Sewing/Needlework/Knilting
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 otters 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 not. Please check here
if,
for some reason, you would prefer
not
to participate in this opportunity.
[J
Failure to return this card will nol diminish your warranty rights
Copyright © 2007 All Rights Reserved
Please seal with tape. Do not staple.
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