Product Registration Form - Advent AW720 Installation And Operating Instructions Manual

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PRODUCT REGISTRATION FORM
Thank you for purchasing this Advent Wireless Product. At Advent, we're dedicated not
only to producing a superior product, but to providing the very best customer service possible. As
part of our ongoing effort to better understand you, the Advent customer, we ask that you fill out
this Registration Card and return it within 15 days of purchase. The information you provide will
help us to develop new products, improve on existing products, and ensure that we are providing
the kind of customer service you deserve and expect of Advent.
By returning this Registration Card, Advent will have your purchase information on file. If you
should lose your receipt, this Advent Registration Card will serve as proof-of-purchase for
insurance and/or warranty purposes.
Thank you for your time and assistance.
OMr.
Last Name
1 1 1 1
Address
o
Mrs. OMs.
o
Miss
First Name
1 1 1 1
Apt. No.
1 1 1
Middle Initial
U
City
1 1
Phone Number
State
LLJ
E-mail Address
Zip
1 1
MM DD
YY
Date of Purchase
Ll..-l Ll..-l Ll..-l
Model Number AW
I~
. . . . . . . I -.L.1--I,,1--I1
1. Marital Status
1.
D
Single
2.
D
Married
3.
D
Divorced
4.
D
Widowed
2. Age
1.
D
Under 18
2.
D
18-29
3.
D
30-49
4.
D
50-65
5.
D
Over65
3. Education
1.
D
High School
2.
D
Some College
3.
0
Completed College
4.
0
Graduate or Doctorate Studies
Serial Number
L.-
1 --&--.&.---.I_.&....I
- - - 1 -
1
- - 1 .
1
- - - 1
Amount Paid $
1 . .....__
- - - ' - - - 1
LLJ
7. Family income level (optional)
1.
D
Under$15,000 4.
D
$50,000-74,999
2.
D
$15,000-24,999 5.
D
$75,000-100,000
3.
D
$25,000-49,999 6.
D
Over $100,000
8. Name of the store where you purchased?
1 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1
9. Where did you first hear about Advent Wireless Products?
1.
D
Friend/Family
2.
D
Salesperson
3.
D
Magazine Advertisement
4.
D
Previous Advent Owner
5.
D
Store Advertisement
6.
0
TV Advertisement