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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?
q Yes q 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?
q Audio/Home Theater Magazine q Other Magazine q TV q
Radio q Newspaper q Trade Show q Friend q Retail Dealer q Direct Mail
Have you purchased Klipsch products before? q Yes q No
If yes, what products?
Product Name(s):
When do you hope to purchase additional loudspeakers? q 6 mos. – 1 yr. q 1–2 yrs.
How likely are you to consider Klipsch products for your upcoming purchases?
q V
er
y likel
y
q Somewha
t likel
y
q Doubtful
If doubtful,
why?
q Don’t carr
y product I’m looking f
or
q T
oo expensive
q Klipsch dealer too far away q Other
Please tell us about you!
q Married q Single q Student q Male q Female
Age: q 15-17 q 18-24 q 25-35 q 36-45 q 46-55 q 55-64 q 65+
Annual Household Income: q Under $25,000 q $25-35,000 q $35-50,000 q $50-75,000 q
$75-100,000 q $100,000+
Register your new Klipsch product now at www.klipsch.com!