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SHAR~
IMPORTANT!
IMPORTANT!
Please complete and return within the next 10 days!
Or register ONLINE at www.sharpusa.com
1.1.
0
Mr.
First Name
2. 0 Mrs.
3.
0
Ms.
4. 0 Miss
Initial
last Name
MLH01-01
TV
Street
Apt. No.
City
State
ZIP Code
E-mail Address:
7.
Did you purchase an extended service plan for this product?
1. 0
Yes
2. 0 No
8.
Where did you purchase this product?
Month
Year
3.
Marital status: 1. 0 Married
2.0 Single
4.
Date of purchase:
/
/
Month
Day
Year
2.
Your date of birth:
5.
Model number:
6.
Serial number:
(on back of unit)
/
13.
What other brands of TVs did you seriously consider before selecting this
Sharp product?
01. 0
No Other Brands Considered 12. 0 Apex
02. 0
RCA
13. 0 Toshiba
03. 0 Zenith
14. 0 Sanyo
04. 0
Sony
15. 0 Fisher
05. 0
Hitachi
16. 0 JVC
06. 0
GE
17. 0 Advent
07. 0
Sylvania
18. 0 Emerson
08. 0
Magnavox
19. 0
Philips
09. 0 Panasonic
20. 0 Mitsubishi
10.
0
KLH
21.
0
Samsung
11. 0
LG Electronics
22.
0
Other
14.
Not including yourself,
what 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
Male
Female
Age
Male
Female
Age
1.0
2.0
yrs.
1. 0
2. 0
yrs.
yrs.
1.0
2.0
yrs.
1.0
2.0
15.
Occupation:
(check all that apply)
You
Spouse
ProfessionallTechnical ............................
0
1.
0
Upper Management/Executive ................
0
2.
0
Middle Management ...............................
0
3.
0
Sales/Marketing ......................................
0
4.
0
Clerical/Service Worker ..........................
0
5.
0
Tradesman/Machine Operator/Laborer ...
0
6.
0
16.
Are you or your spouse:
You
Spouse
A Homemaker? .......................................
0
1.
0
Retired? ..................................................
0
2.
0
A Student? .............................................
0
3.
0
Self Employed/Business Owner? ............
0
4.
0
Working from a Home Office? ................
0
5.
0
In the Military? .......................................
0
6.
0
A Veteran? ..............................................
0
7.
0
PLEASE CONTINUE ON BACK
» » »
17.
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-$74,99~
14. 0
$250,000 & over
18.
level of education:
(check highest level completed)
1. 0
Completed High School
2. 0
Completed College
3. 0
Completed Graduate School
19.
Which credit cards do you use regularly?
1. 0
American Express, Diners Club
2. 0
MasterCard, Visa, Discover
3. 0
Department Store, Oil Company, etc.
4. 0
Do not use credit cards
(B)
Intend to Buy
01.
0
02.
0
03.
0
04.
0
05.
0
06.
[]
07.
0
08.
0
09.
0
10.
0
11.
0
12.
0
13.
0
Durability
Portability
Recommended by
a friend/relative
Recommended by
a salesperson
Other
12. 0
11. 0
11.
Please check the location where this unit will be used.
1. 0
Living Room
6. 0
Basement
2. 0
Adult's Bedroom
7. 0
Home Office
3. 0
Child's Bedroom
8. 0
Mobile HomelTrailer
4. 0
Family/Rec Room
9. 0
Other
5. 0
Kitchen
12.
Which of the following products do you currently own or intend to purchase
within the next 6 months?
(A)
Currently Own
Digital Television.........................................
0
TV Larger Than 27"
0
LCD Television
0
Projection TV........................
0
Combination TV..........................................
0
Camcorder..................................................
0
Digital Satellite.......................................
0
LCD Projector
0
Dolby Digital (AC-3) Audio System
0
Home Theater Audio System
0
(PVR) Personal Video Recorder..................
0
HDTV Receiver............................................
0
Wireless Video Receiver
0
9.
Where did you first learn about this Sharp product?
(check only one)
1. 0
Salesperson
5. 0
In-Store Display
2.
[J
Friend/Relative
6.
0
Retailer's Ad
3. 0
Magazine Article or Review
7. 0
Product Carton
4. 0
Sharp Website
8. 0
Other
10.
What were the two most important factors that influenced your selection
of this product?
(check up to two)
01. 0
Sharp reputation
08. 0
02. 0
Prior experience with Sharp 09. 0
03.
0
Style/Appearance
10.
O.
04.
[J
Unique features
05.
0
PriceNalue
06.
0
Product size
07.
0
Warranty
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