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ALTEC
~®
LANSING®
IMPORTANT!
IMPORTANT!
Please complete and return within the next 1 0 days
or register online at www.prodregister.com/alleclansing
1.1.0 Mr.
2.0 Mrs.
First Name
3.0 Ms.
4.0 Miss
Inilial
Lasl Name
XMA01-01
Sireet
Apt
No.
City
Stale
ZIP Code
E-mail
5. 0
Plane
6. 0
Train
7. 0
Other
Living room
allice
Rec or famiiy room
Other
5.0
6.0
7.0
8.0
11. Where do you plan 10 use this product?
(check atl Ihat apply)
A) Indoors:
1.
0
Bedroom
2.
0
Children's bedroom
3. 0
Gym
4.
0
Kitchen
B) Ouldoors:
1. 0
Automobile
2. 0
Bicycling
3. 0
Camping/picnic
4.
0
Jogging
Year
2.
0
Single
Year
2.
Your date ot birth:
/
Monlh
3. Marital slatus: 1.
0
Married
4. Dale 01 purchase:
/
/
Monlh
Day
5. Model number:
(please see lower left or upper right corner of product front panel)
6. Name of store where purchased:
12.
Nol including yourself,
what is Ihe GENDER and AGE (in years)
of children and olher adulls living in your household?
1.
0
No one else in household
2.
0
Child under 1 year
Male Female
Age
Male Female
Age
18. For your primary residence, do you:
1.
0
Own?
2. 0
Rent?
19. How recently did you move into your currenl 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
the last 12 months
1.
0
2.
0
yrs.
1. 0
2. 0
yrs.
13. Dccupalion:
(check all thaI apply)
You
Spouse
ProfessionalfTechnical ..
0
1.
0
Upper ManagemenVExecutive ...
0
2.
0
Middle Managemenl..
0
3.
0
Sales/Marketing ..
0
4.
0
Clerical/Service Worker ..
0
5
0
Tradesman/Machine Operator/Laborer ..
0
6
0
14. 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
AVeteran? ..
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-$74.999
14.
0
$250.000 & over
16. Level of educalion:
(check highest level compleled)
1.
0
Completed High School
2. 0
Completed College
3. 0
Completed Graduate School
17.
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
yrs.
7-12
Monlhs
o
o
1.
2
1-6
Months
o
o
yrs.
1.
0
2.0
Buy/Lease a New Vehicle ..
Buy/Lease a Used Vehicle .....
1. 0
2.0
20.
Which 01 the following do you plan 10 do wilhin Ihe next
6 or 12 months?
9. What olher brands did you seriously consider before making
Ihis purchase?
(check alilhat apply!
01.
0
No other brand
11. 0
Klipsch
considered
12. 0
Koss
02
0
Belkin
13.
0
Labtec
03
0
Bose
14.
0
Logitech
04.
0
Creative
15.
0
Maxell
05.
0
Cyber Acoustics
16.
0
Philips
06.
0
Dell
17.
0
PI antranics
07.
0
Harman/Kardon
18 0
Shure
08.
0
Jabra
19.
0
Sony
09.
0
JBL
20.
0
Other
10.
0
Kensington
7.
Did you:
1.
0
Purchase this product yourself?
2.
0
Receive this product as a gift?
3.
0
Receive this product as a requested gift?
8. Whal most inlluenced your decision 10 purchase
Ihis producl?
(check alilhat apply)
A) Factors
1.
0
Received as a gift
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
Store display
B) Features
1.
0
Color design and style
2.
0
Power
3.
0
Size
4.
[J
Sound quality
10.
With what do you plan 10 use this product?
(check up 10 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
DVD player
15.
0
iPod
08.
0
Portable DVD player
16.
0
Satellite radio
09.
0
Home theatre system 17.
0
Stereo rack system
10.
0
Micro desktop
18.
0
TV
audio system
11. 0
Notebook/Laptop
computer
PLEASE CONTINUE ON BACK
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