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Capresso Café, Model #115 Product Registration Please complete this registration after you have used your machine for a few days. Your information will help us to better serve you in the future.

Thank you for buying from JURA-CAPRESSO.

Last Name________________________________________________

First Name________________________________________________

qMale qFemale

Address___________________________________________________

City_______________________________State_____Zip___________

Your Email Address________________________________________

Purchased from:
qSpecialty store	qMail order qDepartment store
qInternet company	qReceived as gift

Name of retailer____________________________________________

Purchase Date_______________ Purchase Price $_____________

Reasons for buying this product:

qConcept/Features qSaw it on TV qPrint advertising qRetailer recommendation qRecommended by a friend

Do you use an espresso/cappuccino machine regularly? qYes qNo

I drink (mark all that applies):

qRegular coffee qCappuccino qLatte qEspresso qHot Chocolate

What other espresso machine did you use before? qNone qKrups qSalton qGaggia qDeLonghi

qBreville qCuisinart qOther:___________________________

Would you like more information about our products? qYes qNo

Your annual household income: qUnder $50,000

q$50,000 – $100,000 q$100,000 – $250,000 q$250,000 + Your age group: qUnder 25 q25–40 q41–45 q46-55

q56-65 q65 +

Any suggestions on how we can improve this product?

__________________________________________________________

Would you recommend this product to your friends? qYes qNo

Mail to JURA-CAPRESSO Inc., P.O. Box 775, CLOSTER, NJ 07624 or FAX to: (201) 767-9684.

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