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Thank you for purchasing your AMERIPHONE
DIALOGUE TTY. Please fill out and mail this card
Within The Next 10 Days to register your purchase.
Proper registration will enable us to send you period-
ic mailings about new products and other important
announcements, and also allow us to contact you in
the unlikely event that your product needs adjustment
or modification.
THANK YOU!
1. __Mr. __Mrs. __Ms. __Miss
First Name Initial Last Name
Street Apt.No.
City State Zip Code
2. Date of Purchase:
Month Day Year
3. Model & Serial Number:
4. Home Telephone No.: ( ) -
5. Where did you purchase this product?
1. Received as a gift
2. Assistive Device specialty store
3. Department store
4. TV/appliance store
5. Catalog showroom
6. General Merchandise store
(Sears,Penneys,Wards,Etc)
7. Discount store (K–mart,Target,etc)
8. Mail order
9. Other
6. How did you first become aware of this
product?
(Please check only one.)
1. Magazine advertisement
2. Newspaper advertisement
3. TV advertisement
4. Information received through the mail
5. In–store display
6. Friend’s/Relative’s recommendation
7. Salesperson’s recommendation
8. Product brochure
7. Excluding sales tax, how much did you
pay for this TTY?
1. Less than $200
2. $200–$249
3. $250–$299
4. $300–$349
5. $350–$399
6. $400–$449
7. $450–$500
8. Is this TTY
1. Your first TTY
2. A replacement for any other TTY
3. An additional TTY
9. Which brands did you most seriously
consider before buying your Ameriphone
TTY?
(Check all that apply.)
1. Ultratec
2. Krown
3. AT&T
4. Other
10. What were the most important factors
influencing your decision to purchase this
TTY? (Please check a maximum of two.)
1. Emergency Call Announcer (ECA)
2. Ease of converting from display to
printer TTY
3. Built–in printer
4. Printer letter sizes
5. Electronic Voice Announcer
6. Compact size
7. Light weight
8. Ease of use
9. Other
11. Did you purchase a factory extended
warranty on your
DIALOGUE TTY?
1. Yes
2. No
12. Where did you purchase the extended
warranty?
1. AMERIPHONE
2. Dealer:
Name
Address
City State
Zip Code
13. How long of an extended warranty?
1. 2 years
2. 1 year
14. How much did you pay for the extended
warranty?
$___________.
OWNER REGISTRATION CARD
Cut along dotted line and send to: AMERIPHONE, Inc., 12082 Western Ave., Garden Grove, CA 92641
(area code)