SUPPORT

Warranty Registration Form

We have designed this warranty form to learn more about you, our customer. Based on the information we receive, we can use this feedback to design new products with your needs and preferences in mind. All information will be held in strict confidence.

Please provide the following contact information:

Full Name: *

Full Name required.

Street Address: *

Street Address required.

City: *

City required.

Province: *

Province required.

Postal Code: *

Postal Code required.

E-mail: *

Email Address required. Invalid format.

Purchased from which Music Dealer? (Please include name of dealer, address and city) ^*
Name of Music Dealer:	Music Dealer required.
Music Dealer's Address:	Music Dealer's Address required.
City:	City required.

Date of purchase: *
mm/dd/yyyy
Date of Purchase required.

Information:

Model: *	Model required.
Serial Number: *	Serial Number required.

Please identify and describe yourself:

What is your occupation?

Age

Years playing your instrument?

How did you find out about this product?

Primary influence in buying our product?

Are you a member of a band?
Yes No

Do you make multi-track recordings?
Yes No

What other equipment do you own? (choose up to 3)

Synthesizer
Electric or electronic piano
Acoustic piano
Electric or electronic organ
Portable keyboard
Electric guitar or bass

Drums
Rhythm Machine
Amplifier
Guitar synthesizer
Echo, delay effect
Rack effect

Compact Effect
Multi-track recorder
Personal computer
Tuner
Mixer
Sequencer

What equipment do you plan to buy in the future? (choose up to 3)

Synthesizer
Electric or electronic piano
Acoustic piano
Electric or electronic organ
Portable keyboard
Electric guitar or bass

Drums
Rhythm machine
Amplifier
Guitar synthesizer
Echo, delay effect
Rack effect

Compact Effect
Mixer
Sequencer
Multi-track recorder
Personal Computer
Tuner

What other products did you consider before purchasing this product?

Comments?

^* Required Fields