| Title: |
* |
| First Name: |
* |
| Last Name: |
* |
Institution or Company:
(if applicable) |
|
| E-mail: |
* |
| Address: |
* |
| City: |
* |
| State/Prov.: |
* |
| Country: |
* |
| Zip/Postal Code: |
* |
| Product Model: |
* |
| Serial Number: |
* |
Date Purchased:
(mm/dd/yyyy) |
 * |
Location Purchased:
|
* |
Please help us improve our products and customer service by completing this additional information. We will never sell or release your information to a third party. |
| Gender? |
|
| Age group: |
|
| Education: |
|
| Household Income: |
|
Was your Litebook purchased
for your own personal use or
was it received as a Gift? |
|
Number of family members
using The Litebook:
(besides yourself) |
|
How did you find out
about Litebook? |
|
| Reason for Purchase: |
|
Does your Litebook product
meet your expectations? |
|
| If No, please explain: |
|
| Was the Owner's Guide satisfactory? |
|
| If No, please explain: |
|
What do you like BEST
about your Litebook? |
|
What do you like LEAST
about your Litebook? |
|
| May we contact you regarding your experience with your Litebook? |
|
| Would you be interested in participating in a Litebook Focus Group and
'test-drive' new Litebook products? |
|
