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First Name:
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Address:
Apt.#
City:
State:
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Code:
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E-Mail
Address:
PRODUCT REGISTRATION
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
Features
1
2
3
4
Ease
of
use
1
2
3
4
Design
1
2
3
4
Value
1
2
3
4
COMMENTS:
BT-51044-1
(0208)
Instructions: Fold
at crease and tape open edge
in
the middle.
5
5
5
5
5
Thank You
for
completing
this questionnare.
Printed
in
Indonesia