
Register your new Klipsch product now at www.klipsch.com!
(or cut along dotted line and mail)
For multiple speaker purchases, please fill out only one warranty card.
Name:
Street Address:
City/State/Zip:
Home Phone:
Work Phone:
Would you like to receive the latest product updates and news via 
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. | 
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| Model | 
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| Model | 
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| Model | 
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| Model | 
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| What store did you purchase your Klipsch products from? | 
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| Store Name: | State: | 
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| 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 | 
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| If yes, what products? | 
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| Product | Name(s): | 
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When do you hope to purchase additional loudspeakers? ❑ 6 mos. – 1 yr. ❑ 
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: ❑  | ❑  | ❑  | ❑  | 
| Annual Household Income: | ❑ Under $25,000 | ❑  | |
| ❑  | ❑ $100,000+ | 
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