Bose Wave Radio Gebruikershandleiding - Pagina 22

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Bose Wave Radio Gebruikershandleiding
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I
I
11
Date of your birth:
(month/day/year) I
I
LL-J l__
L.
.~
_ _
L~~J
12
Including yourself, what is the total number of people living in your household?
(Example: 01, 02, 03, 04...)
I
I
13
Date of birth (month/year) of the other adults and children in your household:
Male
Female
Male
Female
I
1. D 2. D
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1. D 2. D
I ...
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Month
Year
Month
Year
1.0 2. D
I
L.~~ __ ~~
1.
D
2.
D
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L.
Month
Year
Month
Year
Which best describes your family income?
1.
0
Under $15,000
2.
D
$15,000-$24,999
3. D $25,000-$34,999
4. D $35,000-$49,999
5. D
$50,000-$74,999
6. D $75,000-$99,999
For your primary residence, do you:
2. D
Female
1. D
Male
2. D
Rent
7. D $100,000-$124,999
8. 0 $125,000-$149,999
9. D $150,000-$174,999
10.
D
$175,000-$199,999
11. D $200,000-$249,999
12.
D
$250,000 or over
2. D
Single
1.
DOwn
1. D
Married
Your marital status:
14
Your gender:
15
16
17
18
Education:
(Please check which category applies to you)
1. D Some high school
3. D College degree
2.
D
Completed high school
4.
D
Graduate degree
19
In the last six (6) months, have you or your spouse:
1. D Purchased through the mail?
2. D Purchased through the Internet?
3. D Worked in your garden?
4. D Traveled on vacation?
5. D Purchased a PC or PC software?
6. D Flown a plane? (Are you a pilot?)
7. D Purchased two or more books?
8.
D
Purchased cassettes/CDs?
9. D Purchased DVDs/Movies?
10. D Donated to charities?
11. D Donated to wildlife/environmental causes?
PLEASE FOLD AND SEAL WITH TAPE BEFORE MAILING.
DO NOT STAPLE.
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