Product Registration Form

(*Indicates Required Field )

Title
First name *
Last Name *
Company
Position/Job Title
Street Address *
City *
State/Province *
Zip/Postal Code *
Country
Email
Phone
Year of Birth
(eg. 2006, 2007, 2008)
  Would you like to receive information from Audio-Technica in the future?
  Yes   No
  *Which of the following A-T product(s) did you purchase?
 





Other (specify)
  *Model(s) Purchased
(Please use model number as it appears on the package)
Model Number *
Serial No. *
Purchase Date *
DD/MM/YYYY
Quantity *
Price Paid *
Store / Catalog / Website Where Purchased *
*My primary use of this product is as a(n)
Others (Primary Use)
If musician, please specify instrument
Others (Specify Instrument)
What is the primary style of music that you listen to?
Others (Primary Music)
  What impressed you most about this product?
 





Others (Specify)
  Please indicate the top three music/audio/gear magazines you read:
Top 1
Top 2
Top 3
  In what magazines have you seen Audio-Technica advertisements?
Specify
What helped you make your decision to choose this product?
 
  Did you consider other brands before making this purchase?
If so, what brand(s)?
  Please indicate your level of satisfaction with the following items:
Dealer
Product Construction
Sound Quality
Warranty
Price
A-T Website
Other Comments

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