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For multiple speaker purchases, please fill out only one warranty card.
Name:
Street Address:
City/State/Zip:
Home Phone:
Work Phone:
E-mail Address:
Would you like to receive the latest product updates and news via e-mail?
Yes
No
Product Purchase
Model and serial number must be included to honor your warranty card. For multiple speaker
purchases,please fill out only one warranty card.
Model Serial Number
Model Serial Number
Model Serial Number
Model Serial Number
Model Serial Number
What store did you purchase your Klipsch products from?
Store Name: State:
How did you hear about Klipsch?
Audio/Home Theater Magazine
Other Magazine
TV
Radio
Newspaper
Trade Show
Friend
Retail Dealer
Direct Mail
Have you purchased Klipsch products before?
Yes
No
If yes,what products?
Product Name(s):
When do you hope to purchase additional loudspeakers?
6 mos.– 1 yr.
1–2 yrs.
How likely are you to consider Klipsch products for your upcoming purchases?
Very likely
Somewhat likely
Doubtful
If doubtful,why?
Don’t carry product I’m looking for
Too expensive
Klipsch dealer too far away
Other
Please tell us about you!
Married
Single
Student
Male
Female
Age:
15-17
18-24
25-35
36-45
46-55
55-64
65+
Annual Household Income:
Under $25,000
$25-35,000
$35-50,000
$50-75,000
$75-100,000
$100,000+
Register your new Klipsch product now at www.klipsch.com!
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