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Kii 5ch Product Re i5tration
r
REGISTER ONLINE and be entered to
win a $1,000 Klipsch gift certificate!
www.klipsch.comjregister
Date of Purchase:
Name:
Street Address:
City/StatelZip:
Other Product Registration Benefits:
• Klipsch will keep you up-to-date on new products and promotions
• Klipsch will keep your information for future warranty service
• Your personal information
will
never be resold
E-mail Address:
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Would you like to receive the latest Klipsch news, product updates and special offers via e-mail?
0 Yes 0 No
Product Purchase
Model and serial number must be included to honor your product registration. For multiple speaker purchases, please fill out only one registration card.
Model:
Model:
Modei:
Model:
Model:
From what store did you purchase your Klipsch products?·
Store Name:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
State:
Were you satisfied with the in-store/online buying experience?
o
Very satisfied
0 Somewhat satisfied
0 Dissatisfied CNhy?
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What factors influenced your purchase of the product? (Select all that apply)
o
Magazine Ad
0 Newspaper Ad
0 Friend's Recommendation
0 Trade Show 0 Retail Dealer 0 Direct Mail 0 Web Site 0 Web Forum
o
Other:
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Please rank the importance of each attribute on which you based your buying decision.
1) Very important 2) Important 3) Neutral 4) Not important 5) Really not important
Sound Performance__ Color__ Size__ Design__ Price__ Brand Value__ Other__
Have you purchased a Klipsch product before? 0 Yes
0 No
When are you planning to purchase additional speakers?
o
6 months - 1 year 0 1 - 2 years 0 2 - 4 years 0 Don't know
How likely are you to consider Klipsch home audio/multimedia products for your upcoming purchases?
o
Very likely 0 Somewhat likely 0 Don't know 0 Doubtful CNhy?
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Please Tell Us About You
Gender: 0 Male 0 Female
Marital Status: 0 Married 0 Single 0 Divorced/Separated
Are you a student? 0 Yes 0 No
Age: 0 15-17 0 18-24 0 25-35 0 36-45 0 46-55 0 56-64 0 65+
Annual Household Income: 0 Under $25,000 0 $26-35,000 0 $36-50,000 0 $51-75,000 0 $76-100,000 0 $101-200,000 0 $201,000+
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