Capresso 476 warranty Or FAX to 201

CAPRESSO Product Registration

CM200 #476

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 Capresso.

Please print clearly
Last Name_________________________________________________________________
First Name_______________________________________________ ❑ Male ❑ Female
Address___________________________________________________________________
City_________________________________________State_______Zip________________
Your Email Address_________________________________________________________
Purchased from: ❑ Specialty store ❑ Mail order ❑ Department Store
❑ Website	❑ Received as gift

Name of retailer_____________________________________________________________

Purchase Date_______________ Purchase Price $_____________

Reasons for buying this product:		❑ Price
❑ Concept/Features	❑ Stainless steel heating element

❑Design ❑ Print advertising ❑ Store recommendation ❑ Recommended by friend

I drink (mark all that apply):		❑ Cappuccino	❑ Latte ❑ Espresso
❑ Regular coffee	❑ Decaff Coffee

What other coffee maker did you use before?:

❑None ❑ Mr. Coffee ❑ Krups ❑ Cuisinart ❑ Capresso

❑Other:______________________________

Would you like more information about our products?: ❑ Yes ❑ No

Your annual household income:		❑ $100,000 – $250,000	❑ $250,000 +
❑ Under $50,000	❑ $50,000 – $100,000

Your age group: ❑ Under 25 ❑ 25–40 ❑ 41–45 ❑ 46-55 ❑ 56-65 ❑ 65 +

Any suggestions on how we can improve this product?

___________________________________________________________________________

___________________________________________________________________________

Would you recommend this product to your friends?: ❑ Yes ❑ No

Mail to Jura-Capresso Inc., P.O. Box 775, CLOSTER, NJ 07624

or FAX to: (201) 767-9684.

11