Honeywell HW7000EH owner manual Demographic Information, Household Income

3 - DEMOGRAPHIC INFORMATION

GENDER:

MALE

FEMALE

MARITAL STATUS:

MARRIED

SINGLE

HOUSEHOLD INCOME:

LESS THAN $15,000 $15,000 - $29,999 $30,000 - $49,999 $50,000 - $79,999 $80,000 - $99,999

$100,000 - $124,999 $125,000 - $149,999 $150,000 - $174,999 $175,000 - $199,999 $200,000 OR OVER

DATE OF BIRTH:

/ /

MM DD YYYY

INCLUDING YOURSELF, HOW MANY PEOPLE LIVE IN YOUR HOUSEHOLD:

NUMBER OF CHILDREN UNDER 18 LIVING IN YOUR HOUSEHOLD:

PRIMARY RESIDENCE:

OWN

RENT

EDUCATION:

SOME HIGH SCHOOL

HIGH SCHOOL DIPLOMA

COLLEGE DEGREE

GRADUATE DEGREE

PRIMARY METHOD OF PURCHASING HOUSEHOLD ITEMS:

IN-STORE

ONLINE

TV

MAIL ORDER

TYPES OF CREDIT CARDS HELD BY HOUSEHOLD MEMBERS:

VISA / MASTERCARD

DISCOVER

AMERICAN EXPRESS

GAS / RETAIL

OTHER

NONE

HOUSEHOLD INTERESTS:

HOME IMPROVEMENT

AUTOMOTIVE WORK

CAMPING

OTHER

THANK YOU FOR REGISTERING YOUR PRODUCT. THE INFORMATION YOU PROVIDED MAY BE USED FOR MARKETING PURPOSES IN ORDER TO OFFER YOU VARIOUS PRODUCT INFORMATION AND OFFERS.

CHECK HERE IF YOU DO NOT WISH TO BE CONTACTED ABOUT SPECIAL OFFERS.

PLEASE RETURN THIS FORM TO THE FOLLOWING ADDRESS:

Northshore Power Systems, LLC

4425 N Port Washington Road

Suite 105

Milwaukee, WI 53212-1082

PLEASE MAIL THIS FORM IN A SEALED ENVELOPE. DO NOT STAPLE.