Bose am268612_00_v manual ~-- ----~

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IMPORTANTI IMPORTANTI IMPORTANTI					6	Please indicate the serial number(s) of thiS product.	15a Please let us know how you are enjoying your new Bose® products.
PLEASE COMPLETE AND RETURN IMMEDIATELY!						(Found on the 10 label attached to your product or consult your owner'smanual for the location.)	We value your comments:
Register online at http://www.bose.com/register						Serial number(s):
						1
First Name:			Initial:		318C
~,-- _ :					7
Last Name:						Where was product purchased:
1	J	~_	_____'_________LI~_			1. C; Bose® 1-800 number
Address: (number and street)						2. D Bose Web site
L-----'-------	~	I	_------'-_-'------"-----	'---------.I __L -		3. =:J Bose store
Apt #:						4.0 Retail store

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City:		State/Province:
I	_-----L__--'---I	-------'I 1 1 _
Zip Code/Postal Code:	Country:

I 1 J - ~:I ~ :_I_~:_I 1I

2 Phone Number:

L-e__ _ -- -_-_~

3 Emall Address:

II L~._-_~ ~! -,-!_ -_ :__ To. _-__ ;

C Check here if you would like to hear from Bose® by email.

4Date of Purchase: (monthfday/year)

-_-_._I: ! --.J~__!_:_~~I

5Please indicate Bose product(s) purchased:

1. J Wave®			radio		17. C Acoustimass 10 speakers
2. [j Wave®			radio/CD		18. 0 Acoustimass 15 speakers
3.	D WavelPC™ interactive				19. D 3·2·1entertainment system NEW
	system		NEW		20.	0 UfestyJe®	5 music system
4.	[ Acoustic Wave®			music system	21.	[] Ufestyle®	12 theater system
5. [j 141®		speakers			22.0 Lifestyle®		20 music system
6.	D 151 ®	speakers			23.	D Lifestyle®	28 entertainment system		NEW
7. C 16FMspeakers				NEW	24.	=:J Ufestyle®	35 entertainment system		NEW
8.	[ 201 ®	speakers			25.0 Lifestyle®		50 theater system
9, D 25FM speakers					26.	0 Ufestyle®	powered speakers
10.	0 301 ® speakers				27.	[] VCS-1 O®	center speaker
11 . :J 601 ™		speakers		NEW	28.	=:J Headset X
12.0 701® speakers				NEW	29.0 QuietComforFM headset			NEW
13, D 901 ® speakers					30. =:J Other, please specify
14.	=:J Acoustimass® 3 speakers					~~-------,-I_~		----'-,------'1_·
15.	0 Acoustimass 5 speakers
							_~_L '_'_..LJ
16. C Acoustimass 6 speakers

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Name:

State:

5.D Catalog

6.0 Other Web site 7, J Other

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8a	00 you own any other Bose products?	1. =:J Yes	2.0 No
8b	Which ones?
	1. 0 Lifestyle® system	5. L Headset
	2. C Wave® radio/Acoustic Wave@ system	6.0 Other Bose speakers
	3. C Automobile sound system	7.0 Other
	4. D Acoustimass® speakers	L1
9	Date of :till[ birth: (month/day/year)		I
	: _ ---_.~ ------"----~~

1a Including yourself, what is the total number of people living in your household?

(Example: 01, 02, 03, 04...) li.J

11Date of birth (month/year) of the other adults and children in your household:

	Male	Female			Male	Female
	1.0	-M-o-nt-h- - . ---					~------~
				- Year' ~ 1.[		2.0
		2.0
	1. =:J	2.0					Month	Year
					1.0	2.0	l i_:~:	_:_~:_I
							Month	Year
12	Your gender:		1, 0 Male	2, [J Female
13	Your marital status:		1.0 Married		2. J Single
14	For your primary residence, do you:				1. C Own		2. D Rent

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15b =:J If your comments were selected for use in radio (Paul Harvey or some other radio	I
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personality) or television broadcast, print advertising, or other media, please check :
here if you permit these comments to be used with reference to your name.	:
CONTINUED ON OTHER SID£	)2
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