Tribest Z-610 instruction manual Star

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Z-STAR

REGISTRATION FORM

PLEASE FILL OUT AND RETURN WITHIN THE NEXT IO DAYS Please write all information legibly!

1.Customer Information

c Mr. c Mrs. c Ms. c Miss

First Name			Initial	Last Name
Street				Apt. No
City			State	Zip
Phone			Email Address
2. Date of Purchase: Month			Day			Year
3. Product Information:
Z-Star	Model #:			Serial #:
4. Dealer Information
Dealer Name
Dealer Address
Phone
OPTIONAL SURVEY
• How did you learn of Z-Star? (Please check only one.)
c Received as a gift		c Magazine advertisement			c Newspaper advertisement
c TV advertisement		c Radio advertisement			c In-store display or demo
c Consumer magazine article		c Friend’s recommendation			c Salesperson
c Information through the mail		c Other
• What is your primary residence?
c Own a House		c Own a Townhouse or Condo			c Rent a House

cRent an Apartment, Townhouse or Condominium

• What is your Annual Household Income?
c Less than $15,000		c $15,000-$25,000		c $25,000-$50,000
c $50,000-$75,000		c $75,000-$100,000		c more than $100,000
• What factors most influenced your decision to purchase this juicer? (please check up to three)
c Z-Star reputation	c Style and appearance		c Value for the price
c Special product features		c Warranty		c Rebate or sale price
c Quality and durability		c Consumer Magazine Article			c Reputation of the
Dealer
c Friend Recommendation		c Salesperson		c Other
• What is your occupation?
c Homemaker		c Professional/Technical		c Upper Management or Executive
c Middle Management		c Sales/Marketing		c Clerical or Service Worker
c Self Employed/Business Owner		c Student		c Retired

cTradesman/Machine Operator/Laborer

• Which credit cards do you use regularly?
c Visa	c MasterCard	c American Express
c Discover	c Department Store	c Diner’s Club
c Gasoline Company, etc.	c Do not use credit cards

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