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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:
Part Number: Serial Number:
Part Number: Serial Number:
Part Number: Serial Number:
Part 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
Not selected

* 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.