Important! important, A.lt e c, An sin g – Altec Lansing VS4221 User Manual
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IMPORTANT! IMPORTANT!
Please complete and return within the next 10 days
A.LT E C
L
AN SIN G®
register online at
1.
1. □ Mr. 2. □ Mrs. 3. □ Ms. 4. □ Miss
First Name
initial Last Name
X M A 0 1 - 0 1
Apt. No.
City
state ZIP Code
2.
Your date of birth:
!
Month
Year
3.
Marital status:
1. □ Married
2. □ Single
4.
Date of purchase:
/ /
Month Day
Year
5.
Model number:
(please see lower left or upper right corner of product front panel)
6. Name of store where purchased:
11. Where do you plan to use this product?
(check all that apply)
A) Indoors:
1. □
Bedroom
5. □
Living room
2. □
Children’s bedroom 6. □
Office
3. □
Gym
7. □
Rec or family room
4. □
Kitchen
8. □
Other
) Outdoors:
1. □
Automobile
5. □
Plane
2. □
Bicycling
6. □
Train
3. □
Camping/picnic
7. □
Other
4. □
Jogging
12. Not including yourself, what is the GENDER and AGE (in years)
of children and other adults living in your household?
1. □ No one else in household 2. □ Child under 1 year
Male Female Age
Male Female
Age
Did you:
1. □ 2. □ yrs.
1. □
2. □
yrs.
1. □
Purchase this product yourself?
2. □
Receive this product as a gift?
1. □ 2. □ yrs.
1. □
2. □
yrs.
3. □
Receive this product as a requested gift?
13.
Occupation:
(check all that apply)
You
Spouse
What most influenced your decision to purchase
ProfessionalATechnical......
... □
1.
□
this product?
(check all that apply)
Upper Management/Executive....... □
2.
□
A) Factors
Middle Management...........
... □
3.
□
1. □
Received as a gift
Sales/Marketing..................
... □
4.
□
2. □
Advertisement
Clerical/Service Worker......
... n
5.
□
3. □
Brand name
Tradesman/Machine Operator/Laborer ... □
6.
□
4. □
Friend’s/Relative’s recommendation
14.
Are you or your spouse:
You
Spouse
5. □
Packaging
A Homemaker?...................
... □
1.
□
6. □
Price
Retired?..............................
... □
2.
n
7. □
Product brochure
A Student?..........................
... □
3.
□
8. □
Review in magazines
Self Employed/Business Owner? ... □
4.
□
9. □
Salesperson’s recommendation
Working from a Home Office?.... ... □
5.
□
10. □
Store display
In the Military?.....................
... □
6.
□
B) Features
A Veteran?..........................
... □
7.
□
1. □ Color design and style
2. □ Power
3. □ Size
4. □ Sound quality
9. What other brands did you seriously consider before making
this purchase?
(check all that apply)
01. □
No other brand
11. □
Klipsch
considered
12. □
Koss
02. □ Belkin
13. □
Labtec
16.
03. □ Bose
14. □
Logitech
04. □ Creative
15. □
Maxell
05. □ Cyber Acoustics
16. □
Philips
06. □
Dell
17. □
Plantronics
07. □ Harman/Kardon
18. □
Shu re
17.
08. □ Jabra
19. □
Sony
09. □ JBL
20. □
Other
10. n
Kensington
10
. With what do you plan to use this product?
(check up to three)
01. □
Boom box
12. □
Portable cassette
18.
02. □ CD player
player
03. □
Portable CD player 13. □
Portable FM/AM
19.
04. □ Cell phone
radio
05. □ Clock radio
14. □
Portable MP3
06. □
Desktop computer
player
07. □
DVD player
15. □
iPod
08. □
Portable DVD player16. □
Satellite radio
20.
09. □
Home theatre system
17. □
Stereo rack system
10. □ Micro desktop
audio system
18. □
TV
11. □ Notebook/Laptop
computer
15.
Which group describes your annual family income?
01. □ Under $15,000
08. □ $75,000-$99,999
02. □ $15,000-SI 9,999 09. □ $100,000-$124,999
03. □ $20,000-$29,999 10. □ $125,000-$149,999
04. □ $30,000-$39,999 11. □ $150,000-$174,999
05. □ $40,000-$49,999 12. □ $175,000-$199,999
06. □ $50,000-$59.999 13. □ $200,000-$249,999
07. n $60,000-$74,999 14. □ $250,000 & over
Level of education:
(check highest level completed)
1. □ Completed High School
2. □ Completed College
3. □ Completed Graduate School
^hich credit cards do you use regularly?
1. □ American Express, Diners Club
2. □ MasterCard, Visa, Discover
3. □ Department Store, Oil Company, etc.
4. □ Do not use credit cards
1. □ Own?
1. □ Within 30 days
2. □ Within 1 - 3 months
3. □ Within 4 - 6 months
2. □ Rent?
I your current residence?
4. □ 7 to 12 months ago
5. □ Have not moved in
the last 12 months
6 or 12 months?
..
1-0
Months
Buy/Lease a New Vehicle............... □
Buy/Lease a Used Vehicle............. □
7-12
Months
□
□
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