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ALTEC LANSING®
IMPORTANT!
IMPORTANT!
Please complete and return within the next 10 days
or register online at www.prodregister.com/alteclansing
1.1.0
Mr.
First Name
2.0 Mrs.
3.0 Ms.
4.0 Miss
Inilial
Lasl Name
XMA01-01
Sireel
ApI. No.
City
Slate
ZIP Code
E-mail
(please see lower lett or upper right corner of product front panel)
6.
Name of store where purchased:
5.
0
Plane
6.
0
Train
7.
0
Other
liVing room
Ollice
Rec or family room
Other
5 0
6 0
7.0
8.0
BIOuldoors:
1. 0
AutomObile
2. 0
Bicycling
3.
0
Camping/picnic
4.
0
Jogging
12.
Nol including yourself.
what
is
the GENDER end AGE (in years)
of children and olher aduhs living in your household?
1. 0 No one else in household
2.
0
Child under 1 year
11.
Where do you plan to use Ihis product?
(check allthat apply)
A) Indoors:
1. 0
Bedroom
2.
0
Children's bedroom
3. 0
Gym
4. 0
Kitchen
Year
2. 0 Single
Year
2.
Vour date of birth:
/
Month
3.
Marital stalus: 1. 0 Married
4.
Date of purchase:
/
/
Month
Day
5.
Model number:
Male Female
Age
Male Female
Age
19.
How recently did you move into your current residence?
1.
0
Within 30 days
4. 0
7 to 12 months ago
2. 0
Within 1 - 3 months
5.
0
Have not moved in
3. 0
Within 4 - 6 months
Ihe lasl12 months
1. 0
2. 0
yrs.
1. 0
2.
0
yrs.
13.
Occupation:
(check allthat apply)
Vou
Spouse
ProtessionalfTechnical ..
0
1.
0
Upper ManagementJExecutive ...
0
2.
0
Middle Management ..
0
3.
0
Sales/Markeling ..
0
4.
0
Clerical/Service Worker ..
0
5.
0
Tradesman/Machine Operator/Laborer ..
0
6.
0
14.
Are you or your spouse:
Vou
Spouse
A Homemaker?.
0
1.
0
Retired? ..
0
2.
0
A Siudent? ..
0
3
0
Self EmployedlBusiness Owner? ..
0
4.
0
Working from a Home Office? ..
0
5.
0
In the Military? ..
0
6.
0
AVeleran? ..
0
7.
0
15.
Which group describes your annuallamily 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-S74.999
14.
n
$250.000 & over
16.
Level of education:
(check highesllevel completed)
1. 0
Completed High School
2. 0
Completed College
3. 0
Compleled Graduate School
17.
Which credil cards do you use regularly?
1. 0
American Express, Diners Club
2.
0
MasterCard, Visa, Discover
3.
0
Department Siore, Oil Company, etc.
4.
0
Do not use credit cards
18.
For your primary residence, do you:
1.
0
Own?
2.
0
Renl?
yrs.
7-12
Monlhs
o
o
1.
2.
1-6
Monlhs
o
o
yrs.
1. 0
2.::::J
Buy/Lease a New Vehicle ..
Buy/Lease a Used Vehicle.
1.::::J
2.0
20.
Which ofthe following do you plan 10 do within the next
6
or 12 months?
7.
Did you:
1. 0
Purchase this producl yourself?
2. 0
Receive this producl as
a
gift?
3. 0
Receive this producl as a requesled gift?
8.
Whal most inlluenced your decision to purchase
Ihis product?
(check all that apply)
A) Factors
1.
0
Received as agill
2. 0
Advertisement
3. 0
Brand name
4. 0
Friend's/Relative's recommendation
5. 0
Packaging
6. 0
Price
7. 0
Product brochure
8. 0
Review in magazines
9. 0
Salesperson's recommendation
10. 0
Siore display
B) Features
1.
0
Color design and style
2. 0
Power
3. 0
Size
4.
0
Sound quality
9.
What olher brands did you seriously consider before making
this purchase?
(check all that apply)
01. 0
No other brand
11.
0
Klipsch
considered
12.
0
Koss
02. 0
Belkin
13. 0
Labtec
03. 0
Bose
14. 0
Logilech
04.
0
Crealive
15.
0
Maxell
05. 0
Cyber Acouslics
16. 0
Philips
06. 0
Dell
17. 0
Plantronics
07. 0
Harman/Kardon
18.
0
Shure
08. 0
Jabra
19. 0
Sony
09.
0
JBL
20.
0
Other
10.
0
Kensington
10.
With whal do you plan 10 use this producl?
(check up
to
three)
01. 0
Boom box
12.
0
Portable cassette
02. 0
CD player
player
03. 0
Portable CD player
13. 0
Portable FM/AM
04. 0
Cell phone
radio
05. 0
Clock radio
14. 0
Portable MP3
06. 0
Desktop computer
player
07. 0
OVO player
15. 0
iPod
08.
0
Portable OVO player
16.
0
Salellite radio
09. 0
Home theatre system 17. 0
Stereo rack system
10. 0
Micro desktop
18. 0
TV
audio system
11. 0
Nolebook/Laptop
compuler
PLEASE CONTINUE ON BACK
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