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We thank you for your selection of this digital piano. To assist you in establishing your date of warranty eligibility, please fill out this form as completely as possible. * - This information is for internal use only and is not sold or transferred to any third parties in any way.

Digital Piano Warranty Registration Card

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Personal Information

* First Name

* Last Name

* Email Address

* Address

Address Line 2

* City

* State or Province

* Zip Code

Phone

Your Age
15-24 25-34 35-44 45-54 55-64 65+

Your Gender
Female Male

Your Family Size
1 2 3-4 5+

Your Home Ownership
Owner Renter

Your Geography
Rural Suburban Urban

Your Occupation
Blue Collar Farmer Other White Collar

Your Income
$100-150K $15-20K $150K+ $20-25K $25-30K $30-40K $40-55K $55-75K $75-100K

Product Information

*Model and Finish

*Serial #

*Purchase Date
must be in MM/DD/YYYY format

Purchase Price

Purchased From

Survey

What is your favorite type of music?
Acoustic Adult Contemporary Broadway Christian Classical Country Dance Film Jazz Latin New Age Other Pop R&B Rap&Hip-Hop Rock World

Which of the following influenced your purchase?
Advertisement Appearance, Styling Brand Name Dealer Reputation Ease of Use Entertainment Value Features Payment Plan - Finance options Price/Value Product Brochure/Literature Salesperson Demo True Piano Performance Trusted Referral Warranty/Guaranty

How did you initially hear about our pianos?
From a Dealer/Reseller From a Friend From a Magazine/Newspaper From a Teacher From an Advertisement From the Internet Other

Where Do You Primiarly Use Your Piano
Primarily in a Boat/RV Primarily in a Church Primarily in a Dormitory/Apartment Primarily in a Restaurant Primarily in a School/Institution Primarily in the Home Other

Is this your first digital keyboard instrument?
No Yes

Which other piano brands did you seriously consider?

Will this piano be interfaced with another MIDI device or computer?
Don't Know/Not Sure No Yes

Do You Own An Acoustic Piano?
No Yes

Who had the most influence in your final purchase decision?
Committee Daughter Female Head of Household Male Head of Household Son

How knowledgeable was your dealer about this product's features?
Extremely Fairly Not Very Not at All

Would you like to receive news updates about your piano and related accessories?
No Yes

Please list your suggestions/comments

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