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PRODUCT REGISTRATION
First Name:
Last Name:
Address:
Apt.#
City:
State:
Zip Code:
Phone Number:
E-Mail Address:
1) Would you like to receive the JVC Community e-mail newsletter?
2) Would you like to receive special offers from JVC?
3) Have you purchased an extended warranty for this product?
Date of Purchase
Model Number:
Serial Number:
Purchase Price:
Dealer:
Yes
No
Yes
No
Yes
No
On a scale of 1 to 5, with 5 being the best, please rate each of the following attributes about your new
JVC product.
Performance
1
2
3
4
5
Features
1
2
3
4
5
Ease of use
1
2
3
4
5
Design
1
2
3
4
5
Value
1
2
3
4
5
COMMENTS:
Thank You
for completing
this questionnare.
BT-51 044-1
(0208)
Instructions: Fold at crease and tape open edge in the middle.
Printed in Malaysia
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