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General Information
* Title:
Mr.
Mrs.
Ms.
Miss
* First Name:
* Last Name:
Middle Name:
* Address:
* City:
* State:
* Zip:
* Phone:
* Email:
I would like to receive more information through:
Email
Phone
Fax
About Your Purchase
Please identify the product(s) you are registering:
Model Number:
Serial Number:
Model Number:
Serial Number:
Model Number:
Serial Number:
Model Number:
Serial Number:
* Date of Purchase:
Where did you buy your product (s):
How did you first become aware of this product?
Store Display, Demonstration
EZQuest Home Page (www.ezq.com)
Press Release
Friend/Relative
Show/Exhibition
Mail Order
Salesperson
Other:
What best describes the type of vendor you bought your product from?
Computer Store
EZQuest Online
Mail Order Catalogue
Other:
Online Store
What is the intended use for this product?
Business/Office Work
School Work
Fun
Other:
Professional Work
What operating system do you use?
(mark all that apply)
Mac OS 8.6 or earlier
Windows 98/98se
Mac OS 9.0
Windows 2000
Mac OS X
Windows NT
OS2
Unix/Linux
Windows 95
Tell us what you think of our product.
Color:
Just Fine
Prefer
Size:
Too Big
Just Fine
Too Small
Material:
Prefer Transparent
Prefer Transluscent
Prefer Opaque
Packaging:
Weight:
Too heavy
Just Fine
Too Light
Documentation:
Did you visit the EZQuest website before making your purchase?
Yes
No
Have you used EZQuest Technical Support?
Yes
No
How would you rate the support you received?
Excellent
Very Good
Adequate
Fair
Poor
About Yourself
Your Marital Status?
Married
Single
Date of Birth:
Which of the following is your primary source of information on computer products?
Television
Newspaper
Radio
Magazines
Internet
Other:
Which of the following products do you presently own?
CD-RW Drive
Fire Wire Video Camera
External Hard Drive
USB Hub
DVD Drive
USB Camera
Thank you for completing this form. To help us keep you informed about product improvements, new software/hardware and upgrades, please indicate the way you would prefer us to contact you.
Email
Phone
Mail
Do Not Contact Me
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© 2006, All Rights Reserved
EZQuest, Inc.
1051 North Shaperd Street
Anaheim, CA 92806
714-666-1716