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Country
:
-
United States
Albania
Algeria
Argentina
Australia
Austria (area of service)
Bangladesh
Belarus
Belgium (area of service)
Bolivia (area of service)
Bosnia
Brazil
Bulgaria
Canada
Caribbean (area of service)
Chile
China
Colombia
Costa Rica (area of service)
Croatia
Cyprus
Czech Republic
Ecuador
Egypt
El Salvador
Estonia
Fiji Islands
Finland
France
Germany
Ghana
Greece
Guatemala
Honduras (area of service)
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq (area of service)
Israel
Italy
Japan
Kazakhstan
Latvia
Lithuania
Luxembourg (area of service)
Macedonia
Malaysia
Malta
Mexico
Netherlands (area of service)
New Zealand
Nicaragua (area of service)
Nigeria
Norway
Panama
Paraguay (area of service)
Peru
Philippines
Poland
Romania
Russia
Serbia&Montenegro
Singapore
Slovakia
Slovakia (area of service)
Slovenia
South Africa
South Korea
Sri Lanka
Sweden
Switzerland
Taiwan
Thailand
Turkey
UAE
Ukraine
United Kingdom
Uruguay
Venezuela
Vietnam
Product:
-
Artis
Artis 7
Artis SE
CGP220
CUP-2
CUP1
CUP110
CUP120
CUP2A
CUP310_320
Forte
Forte 7
Forte SE
KA110
KA130
KA150
KA90
KAG100
KCL
KP100
KP110
KS-40A
M100
M110
M130
M210
M230
M3W
MP-10
MP-15
MP-20
MP120
MPG100
MPG200
MPS10
MPS20
PC3A6
PC3A7
PC3A8
PC3K6
PC3K7
PC3K8
PC3LE6
PC3LE7
PC3LE8
SP1
SP4-7 (SP76II)
SP4-8
SP5-8
SP6
SPS4-8
First and Last Name
:
Phone Number
:
Alternate Phone Number:
Email address
:
State/Province
:
Product Serial Number
:
Dealer purchased from
:
Date purchased
:
0000
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
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00
01 (January)
02 (February)
03 (March)
04 (April)
05 (May)
06 (June)
07 (July)
08 (August)
09 (September)
10 (October)
11 (November)
12 (December)
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00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Street Address
:
City
:
Zip / Postal Code
:
Sex:
-
Male
Female
A. Which of the following reasons influenced you in your purchase? (check all that apply):
For enjoyment and fun
Children's benefit and enrichment
For professional use and or practice
For use and enhancement of your home
To trade in an organ
To trade in a piano
B. What influenced you the most in deciding to purchase a Kurzweil product? (check all that apply):
Overall quality
Quality of sounds
Styling
Sales presentation
Product reputation
Number of sounds
Advanced technology
C. How did you initially hear about Kurzweil musical instruments? (check all that apply):
From your dealer
From a teacher
From a professional musician
From a friend
From an article
From advertising
D. How knowledgable was your dealer about this product's features?:
-
Extremely
Fairly
Not very
Not at all
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Kurzweil is a registered trademark of Young Chang Co., Ltd.