Filter
Top Products
IMPORTANT:
Please comDlete the information below and return within 10 days.
@I. Mr.0 2.
Mrs.0 3.MsO 4. Miss0
First Name: Initial: Last Name:
IIIIIIIIIII u 1111111111111
Address: (Number and street)
I I I I I I I I
I I I I I I I I I I I I I
City:
State:
I I I I I I I I I I I I I I I
L-FE-
Zip:
I I I I
@ Phone Number:1 I , 11 I I 11 , I I l@)Date of Purchase1 .;,,, I( ,8, (( I ,:,, I 1
0
4 Serial Number ) , , , I I , , I
(located under unit or on the box)
@ Model Number (check one)
0990 0985 0975R 0970 0960 0950 0946 0940 0936 0926 0916 0906 OLP904 other
@Where did you purchase this BEL product?
OCar Audio Specialist OElectronics Specialist OElectronics Superstore OCatalog/e-commerce
Store Name:
Address
-
City
State Zip
@ In what vehicle will this BELTRONICS product primarily be used?
Make: *
Mode’: w Year: w
@ What is your preferred mounting method?
1.0
Visor
2.0 Windshield
3.0 Dash
@ Is this product:
1. 0 A first-time purchase?
2. 0 An additional purchase?
3.0 A replacement?
4.0 A gift?
@ What other brands did you consider buying?
1. O Cobra 4.0 Escort/Passport
2. 0 Whistler
5.0 Other
3. 0 Uniden
6.0 No other Brand
@ If you’ve owned a detector before, which one?
l.OBEL 4.0 Escort/Passport
2.0 Cobra
5.0 Whistler
3.0 Uniden
6. 0 Other
@ In which of the following magazines have you
seen an advertisement for BEL detectors?
1.0 Car and Driver 6.0 Popular Science
2.0 Road &Track 7.0 Popular Mechanics
3.0 Automobile 8. 0 Airline Magazine
4.0 Motortrend
9. 0 Overdrive
5.0 Mens Health IO. 0 Other:
@Which best describes your household income?
1. O Under $15,000 5. 0 $50,000-$74,999
2. 0 $15,000 - $24,999
6. Cl $75,000-$99,999
3. 0 $25,000-34,999
7. 0 $100,000-$149,999
4. 0 $35,000-49,999
8. Cl Over $150,000
@ Date of m birth: 1 , I I 1
Yeal
0
Education (Please check which category applies):
1.0 High School 3. 0
Completed College
2.0 Some College 4.0
Graduate School
@ What is your occupation?
1. 0 Self Employed/Owner
7. 0 Student
2. 0 Professional/Technical
8. 0 Homemaker
3. 0 Clerical/Service Worker
9. 0 Retired
4. 0 Middle Management
10. 0 Sales/Marketing
5.13 Upper Management
11.0 Laborer/Tradesman
6. 0 Professional Driver
12. 0 Military