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
Model: 4.1 System
Where did you purchase your Klipsch products from?
❑
Retail Store
❑
On-line at www.klipsch.com
❑
Computer Manufacturer
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+
Cut along dotted line and mail.
