Panasonic | Important! Please complete and return within ten days. |
You can also register online via the Internet at: | |
htlp://www.panasonic.com/vieraregisler | |
| It is not necessary to return this card in order to effectuate the limited warranty. |
1. 1. CJ Mr. | 2. ~ Mrs. | 3.0 Ms. | 4.0 Miss |
First Name |
| Initial | last Name |
Street
City
2.
3.Telephone number:
( )
4. Date ot purchase: | / | / |
Month | Day | Year |
5.A. Model It: (refer to operating manual or box)
8. Serial It: (refer to the product)
QAA01-01
Television
ApI. No.
State ZIP Code
14. Excluding this purchase, what other electronics equipment do you currenlly own or intend 10 purchase?
| (AI |
| (Bllllt's | (C) Intend to | |
| If you |
| Panasonlc |
| bUy in next |
| ~ RL1H1JJJiH |
| l.1mll11.l1.! | ||
TV/DVD Combination | 0 | 01. | 0 | 01. | 0 |
TVNCR Combination .. | ........ 0 | 02. | 0 | 02. | 0 |
27" or Larger Color TV | 0 | 03. | 0 | 03. | 0 |
Projection TV | ... 0 | 04. | 0 | 04. | 0 |
Digital TV... | 0 | 05. | 0 | 05. | 0 |
Plasma TV . | 0 | 06. | 0 | 06 | 0 |
Digital Camcorder... | 0 | 07. | 0 | 07. | 0 |
Digital Camera | 0 | 08. | 0 | 08. | 0 |
Digital Satellite System | 0 | 09. | 0 | 09. | 0 |
DVD Video Player |
|
|
|
|
|
6. Name 01 store where purchased:
City | State |
or website address il purchased via the internet:
7. | Price paid (excluding service | $ | .00 |
| contract, shipping and taxes): |
| |
8. | Did you purchase or receive an extended service contract with | ||
| your product? |
|
|
| 1. 0 Yes |
| 2. 0 No |
9.Is this product:
1.0 The first TV you'veever purchased?
2.0 A replacement for another TV?
3.0 An additional product, already own one other TV?
4.0 An additional product, already own two or more other TVs?
10.Where did you tirst learn about this product?
01. | 0 | Received as a Gift | 08. | 0 | Magazine Article/Review |
02. | 0 | 09. | 0 | Catalog | |
03. | 0 | Store AdvertisemenV | 10. | 0 | Direct Mail Promotion |
|
| Store Flyer/Circular | 11. | 0 | Friend/Family Recommendation |
04. | 0 | Newspaper Ad | 12. | 0 | Salesperson Recommendation |
05. | 0 | Magazine Ad | 13. | 0 | Internet |
06. | 0 | TV Advertisement | 14. | 0 | Other |
07.0 Radio Advertisement
11.What were the most important factors that influenced your selection
01this product? (check up to 2 responses)
01. | 0 | Trust in Panasonic | 07. | 0 | Ease of Operation |
02. | 0 | Quality | 08. | 0 | Salesperson'sRecommendation |
03. | 0 | Features | 09. | 0 | Friend/Family Recommendation |
04. | 0 | Price | 10. | 0 | Online Research |
05. | 0 | Size | 11. | 0 | Other |
06.0 Appearance/Design
12.What were the most important leatures that influenced your selection ot this product? (check up to 3 responses)
01. | 0 | Picture Quality | 07. | 0 | |
02_ | 0 | HDTV Monitor | 08. | 0 | Lighted Remote |
03. | 0 | Comb Filter | 09. | CJ | |
04. | 0 | Sound Quality | 10. | 0 | Parental Controls |
05. | 0 | Surround Sound | 11. | 0 | Energy Star Rating |
06. | 0 | Input Jacks | 12. | 0 | Qther |
13. Which 01 the following brands did you seriously consider betore selecting Panasonic? (check all that apply)
01. | 0 | Did not consider | 09. | 0 | Sampo |
|
| any other brands | 10. | 0 | Samsung |
02. | 0 | Apex | 11. | 0 | Sanyo |
03. | 0 | Hitachi | 12. | 0 | Sharp |
04. | 0 | JVC | 13. | 0 | Sony |
05. | [] | Mitsubishi | 14. | 0 | Sylvania |
06. | 0 | Philips | 15. | 0 | Toshiba |
07. | 0 | Pioneer | 16. | 0 | Zenith |
08. | 0 | RCA | 17. | 0 | Other |
(excluding PC DVD) | 0 | 10. | 0 | 10. | 0 | |
DVD Video Recorder |
| 0 |
| 0 |
| 0 |
(excluding PC DVD) | 11. | 11. | ||||
DVD Audio System | 0 | 12. | 0 | 12. | 0 | |
Dolby Digital Receiver | 0 | 13. | 0 | 13. | 0 | |
Home Theater System .. |
| 0 | 14. | 0 | 14. | 0 |
MP3 Player ... | ..... | 0 | 15. | 0 | 15. | 0 |
900MHz or 2.4 GHz |
| 0 |
|
|
|
|
Cordless Phone | 16. | 0 | 16. | 0 | ||
Fax Machine | ::J | 17. | 0 | 17. | 0 | |
Home Computer | ::J | 18. | 0 | 18. | 0 | |
Personal Digital Assistant | 0 | 19. | 0 | 19. | 0 | |
Microwave Oven | 0 | 20. | 0 | 20. | 0 | |
15. Your date of birth: | / |
|
|
|
|
|
Month |
|
| Year |
|
|
|
16.Marital status: 1. 0 Married 2. 0 Single
17.No' including yourse/l, what is the GENDER and AGE (in years) 01 children and other adults living in your household?
1. 0 | No one else in household |
| 2. 0 | Child under 1 year | ||||
Male | Female | Age |
| Male | Female | Age | ||
1.0 | 2 | 0 |
| yrs. | 1. 0 | 2.0 | yrs. | |
1. | lJ | 2 | 0 |
| yrs. | 1.0 | 2.0 | yrs. |
18. Occupation: (check allfhat apply) |
| You |
| Spouse | |
ProfessionalfTechnical. |
|
| 0 | 1. | 0 |
Upper Management/Executive |
| 0 | 2 | 0 | |
Middle Management... |
|
| D | 3 | 0 |
Saies/Marketing... |
| .. | 0 | 4. | 0 |
Clerical/Service Worker |
|
| 0 | 5. | 0 |
Tradesman/Machine Operator/Laborer |
| 0 | 6. | 0 | |
19. Are you or your spouse |
|
| You |
| Spouse |
A Homemaker? | .. |
| 0 | 1. | 0 |
Retired? |
|
| 0 | 2. | 0 |
AStudent? |
|
| 0 | 3. | 0 |
Self Employed/Business Owner? |
| 0 | 4. | 0 | |
Working from a Home Office? |
| 0 | 5. | 0 | |
In the Military? |
|
| 0 | 6. | 0 |
A Federal Employee? |
|
| 0 | 7. | 0 |
20. Which group describes your annual tamily income?
01. | 0 | Under $15,000 | 08. | 0 | |
02. | 0 | 09. | 0 | ||
03. | 0 | 10. | 0 | ||
04. | 0 | 11. | 0 | ||
05. | CJ | 12. | 0 | ||
06. | 0 | 13. | 0 | ||
07. | 0 | 14. | c:; | 5250,000 & over |
21.level 01 education: (check highest level completed)
1. | CJ | Completed | High School | 3. 0 Completed Graduate |
2. | ::::J | Completed | College | School |
22.Which credit cards do you use regularly?
1.0 American Express, Diners Club 3. 0 Depl. Store, Oil Company, etc.
2. 0 MasterCard, Visa, Discover | 4. 0 Do not use credit cards |
23.For your primary residence. do you: 1. 0 Own? 2. 0 Rent?
24.Which 01 the following do you plan to do within the next 6 or 12 months?
a __ | ~~ | ~ | .. O | 2 | 0 |
|
|
|
| ||
Get Married |
|
| n | 1. | 0 |
Buy a House.. |
| .. | 0 | 3. | 0 |
Remodel a Home.. |
|
| . 0 | 4. | 0 |
Move to a New Residence.. |
| .. | 0 | 5. | 0 |
Buy a personal computer |
|
| 0 | 6. | 0 |
BuyiLease a New Vehicle |
|
| 0 | 7. | 0 |
Buy/lease a Used Vehicle... |
|
| .. . 0 | 8. | 0 |
(PLEASE CONTINUE ON BACK) ......