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IMPORTANT! IMPORTANT!
PleaseFill OutAndReturnWithinThe Next10 Days.
Q 1. r.3 Mr, 2. D Mrs. 3. _ MS. 4. _] Miss
First Name initial Last Name
I I I i t I I I I r ! W I ! ] I t I I I I I t ] I J I_
Street Apt. NO.
I r I I i t ] i i I ±..Lf t I ! J t..___J I I t I I I
City State ZIP Code
r r J { I I I r I I I P I I I I _ I I I I L I I i
9) Date of Installation: _ _
Month Day Year
O Important! For proper registration, please flu in the model
number, and serial number of this product:
A. Model Number:
I I I ] t I I I i t I I I I I I !
B. Serial Number:
I I I i t I I I I I I t f ! I I I
Date of birth of person
whose name appears above: _ _
Month Year
Excludln outssif, what is the SEX and AGE (in years) of children and other adults liv-
ing in your household?
1, [3 NO one else in household
Male Female _ Male Female
rE,2o,,,L Ye°rst[32o
1, El 2 /ill _ years 1. [3 2. []
What type of product is this?
t. E1 Central Air Conditioner
2. L] Gas Furnace
3. [J Oil Furnace
4. [3 Electdc Furnace
5. [3 Heat Pump
O A. Price paid for this product (excluding installation charges and sales tax):
=_ .00
B, Price paid for installation:
$1 I I I I 1.0o
O Name of company that sold you this product:
LI I I t I I I I I I I I I I i
When did you acquire your produc_.
1. [] Upon purchase of a new dwetfing.
2. [3 To replace an older system of the same brand.
3. [3 TO replace an older system of another brand.
4. [3 Within a year after purchasing a dwelling with no central air.
5. [3 2-4 years after buying a dwelling with no centrsi air system.
6. [3 Over 4 years after buying a dwelling with no centrsi air system,
_) If you replaced an older system, approximately how old was that system?
t. [3 Don't know 4. [3 9-11 years 7 [3 18_20years
2. [3 f_Syears 5. [3 12-14years 8, [3 21-24 years
3. [J 6-8years 6. [3 t5-t7 years 9. [3 Over 24 years
i} If this is a replacement, what brand did you previously own?
1. [] Amana 6. [] Janitrol it. [3 Snyder
2. [3 Bryant 7, D Lennox 12, [3 Tempatar
3. [3 Carrier 8. [3 Payne 13. [3 Trane
4. L] Day & Night 9. [] Rheem 14. [3 York
5. [3 Heir 10, L] Rued t5. F) Other
What factors most influenced your selection of this prodtmt? (Check a maximum of two.)
1. [3 Brand reputation 6. [3 Energy efficiency
2. [3 Dealer reputation 7. [3 Location of dealer
3. [3 Previous experience with products 8. [3 Dealer's installation policy
of thle brand 9. [3 Ffiend's/reietive's recommendation
4. [3 Previous experience with this dealer 1O, [3 Contractor's/dealer's recommendation
5. {3 Price 11. 13 Other
Marital Status:
1. [] Married 3. [I Widowed
2. l] Divorced/Separated 4. [3 Never Married (Single)
Occupation: You
Homemaker ................................... [3 1. [3
Professional/Technical ............................. [3 2. [3
Upper Management/Executive ......................... 13 3. []
Middle Management ............................... [3 4. [3
Sales/Marketing ................................. [3 5. [3
Clerical or Service Worker ........................... [3 6. []
Tradesman/MachleeOper./Laborer ...................... [3 7. [3
Retired ...................................... [3 8. [3
Student ...................................... [3 9. [7
Self Employed/Business Owner ....................... [3 10. [3
Which group describes your annual family income?
1. [3 Under $15,000 7. [3 $40,000-$44,999
2. [3 $15,000-$t9,999 8. [3 $45,000-$49,999
3. [] $20,000-$24,999 9. [3 $50,000-$59,999
4. [3 $25,000-$29,999 tO. [3 $60,000-$74,999
5. $30,000-$34,999 tt, [3 $75,000-$99,999
6. [3 $35,000_$39,999 12, [3 $100,000 & over
Education: (please check those which apply) You
Some High Schoolor Less ............................ [3 t . []
Completed High School .............................. [ 2. l ]
Vocatlonal/Technicsi School ......................... [3 3, [3
Some College .................................. [3 4. []
Completed College ................................ [3 5. []
Some Graduate School .............................. E 6. ]
Completed Graduate School .......................... [3 7. [3
Which credit cards do you use regularly?
1. [3 American Express, Diners CIub
2. MastarCard, Visa, Discover
3. [3 Departraent Store, Oil Company, etc
4 [3 Do not use credit cards
Foryour primary res_ence, do you:
t. [] Own a House?
2. [J Own a Townhouse or Condominium?
3. EL'Rent a House?
4. ',:i Rent an Apartment, Townhouse or Condominium?
TO help us understand our customers' lifestyles, please indicate the interests and activities in which _ or _ enjoy participating on a _ basis:
01, [3 Bicycling Frequently
02. [3 Golf
03. El Physical Fitness/Exercise
04. [3 RunninglJogging
05. [3 Snow Skiing Frequently
06. [3 Tennis Frequently
07. [] Camping!Hiking
08. [] Fishing Frequently
09. [3 Hunting/Shooting
10. L] Power Boating
11. [] Sailing
t2. [3 House Plants
13. [3 Grandchildren
Using the numbers in the above list, please
indicate the 3 most important activities for:
Please check all that apply to your household:
1, [3 Regularly Purchase Items
Through the Mail
2, [3 Military Veteran in Household
14, [3 Needlework/Kedting
15. F1 Vegetable Gardening
16. [3 Flower Gardening
17. El Sewing
18. r_ Crafts
19. [3 Automotive Work
20, [:} Electronics
21, [] Home Workshop/Do It Yourself
22. 1./ Recreationsi Vehicles
23. [] Stereo, Records/Tapes/CDs
24, [3 Buy Pre-Recorded Videos
25. [3 Avid Book Reading
26. £7 Bible/Devotional Reading
You L_U LJ_J L_[_I
3, [] Member of Frequent Flyer Program
4, [3 Support Health Charities
5. [3 Subscribe to Cable TV
27. ll RealthJNatural Foods
28. [] Photography
29. [3 Home Furnishleg/Decorating
30. [3 Attending Cultural/Arts Events
31, /3 Fashion Clothing
32. [3 Fine Art/Antiques
33. _ Foreign Travel
34, [3 Trave_ inthe USA
35. [] Gourmet Cooking
36. [3 Wines
37. [3 Coin/Stamp Collecting
38, [] Collectibles/Collections
39. [3 Our Nation's Heritage
40. [J Real Estate Investments
41, [] Stock/Bond Irtvesiments
42. [] Entering Sweepstakes
43. [3 Casino Gambling
44, [] Science Fiction
45. [] Wildlife/Environmenta! Issues
46 [] Dieting/Weight Control
47. [] Science/New Technology
48. [3 Self Improvement
49. [3 Walking for Health
50, [] Watching Sports on TV
S.ousel I ILJ__I
6. [3 Have a Microwave Oven
7. [3 Have a CD Player
8. [3 Have a VCR
9. [] Use a Personal Computer
10, [3 Havea Dog
11. [3 HaveaCat
Thanks for taking the time to fill _ this questionnaire YOUr answers will be used for market researcil studies and re rts -- and wilkhelp USbetter serve you in the Pdture They wil{ also ailow you to receive importan ma ngs and
sbeciaJ offers from a number of fine comben_s whose products and services re,re direc_y to the specific interests, _Obbies and other information indicated above Through this s_ective program you _4_ be able to obtain more
_nformaben about aci_vities in which you are involved and less about those in which you are not Pk_ase check here if. for some reason, you would prefer not to participate in this opportunity []
If yOU have comments or suggestions about om product please write to: Carder
Consumer Relations Department
RO, BOX 4808
Syracuse, NY 13221
or call 1-806-C-A-R-R-I*E-R
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