Diamondback 06.DB SS OM - Manual (Page 36)

What is your bike’s serial number? (see diagram on inside front cover for location)
Date of
Purchase:
Month Day Year
What model bike do you have?
Della Cruz Della Cruz 1.0
Impression Joker
Mini Impression Mini Viper
Mr. Lucky 24 Nitrus
RM 16 RM 20
Skin Dog Venom
What is your bike’s
model year?
Purchased from (dealer name)?
Dealer’s
state:
What is your bike’s serial number? What is your bike’s serial number? What is your bike’s serial number?
Price paid
(excluding sales tax) :
Reasons you purchased a Diamondback:
Received as a gift Received as a gift
Color/Appearance
Color/Appearance
Quality/Durability
Quality/Durability
Comfort/Fit
Comfort/Fit
Advertisement Advertisement
Frame/Design/Materials
Frame/Design/Materials
Family/Friend Recommendation
Family/Friend Recommendation
Value/Price
Value/Price
Component selection Component selection
Weight of bicycle
Weight of bicycle
Prior experience with brand Prior experience with brand
Sales person’s recommendation Sales person’s recommendation
Diamondback’s Reputation Diamondback’s Reputation Other Other
Other brands considered ?
.
0 0
$
First Name:
Middle
Initital:
Last Name:
Gender: Male Female Male Female
Daytime phone:
- -
Evening phone:
- -
Marital status: Married Single Married Single
Street
Address:
Street & Apt No.
City
Date of birth:
Month Day Year
Email
Address:
State
Zip Code Country
Jr Viper
Miz Della Cruz
Orion
Session
Viper
Grind
Lil’ Della Cruz
Mr. Lucky
RM 12
Sherman
Viper X
Please Register Your Bike Online At www.diamondback.com
If you do not have access to a computer, please complete the form below and return within the next 10 days. Notates required fi elds.
*
*
*
*
*
*
* What is your bike’s serial number? What is your bike’s serial number?
*
*
Other (specify)
*
Professional/Technical
Upper Management/Executive
Middle Management
Sales/Marketing Occupation
(Check all
that apply) :
You Spouse
Clerical/Service Worker
Tradesman/Machine Operator/Laborer
Student
Housewife
You Spouse
Annual
Income:
$20,000 – $50,000 $20,000 – $50,000
$50,000 – $75,000
$50,000 – $75,000
$75,000 – $100,000 $75,000 – $100,000
Over $100,000
Over $100,000
Under $20,000 Under $20,000
Retired