Assessments - 3, GPA: 3.3
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Follow the gas supplier’s instructions. • If you cannot reach your gas supplier, call the fire department. — Installation and service must be performed by a qualified installer, service agency or the gas supplier. NOTE TO INSTALLER: This manual must be left with the equipment user. A91189 Bryant, Day & Night, Payne Brands IMPORTANT! IMPORTANT! Please Fill Out And Return Within The Next 10 Days. © 1. □ Mr. 2. □ Mrs. First Name 3. □ Ms. 4. □ Miss Initial Last Name I I I I I I I I I I I U I I I I I M I I I I I I Street Apt. No. I I II i i I I I I I I I I I l.M II i I I I I I City ■ State ZIP Code I I I I I I II I I I I I I I I LJ_I I I I I I I I I > Date of Installation: Month Day Year I 0 important! For proper registration, please fill in the model number, i and serial number of this product: A. Model Number: I i i I i i i i i i i i m i i B. Serial Number: I I I I I i i i i i I I I I I I 0 What type of product is this? 1. D Central Air Conditioner 2. □ Gas Furnace 3. □ Oil Furnace 4. □ Electric Furnace 5. □ Heat pump 0 A. Price paid for this product (excluding installation charges and sales tax): $ I_I_I-1_I_I .00 B. Price paid for installation: $ I_I_I—I_I_1.00 0 Name of company that sold you this product: i i i i i i i i i i i i i i i i 0 What brand is this product? 1. □ Bryant 2. □ Day & Night 3. □ Payne 0 When did you acquire your product? 1. □ Upon purchase of a new dwelling. 2. D To replace an older system of the same brand. 3. □ To replace an older system of another brand. 4. □ Within a year after purchasing a dwelling with no central air. 5. □ 2-4 years after buying a dwelling with no central air system. 6. □ Over 4 years after buying a dwelling with no centra! air system. 0 If you replaced an older system, approximately how old was that system? 1. D Don'tknow 6. □ 15-17years 2. D 1-5 years 7. □ 18-20years 3. □ 6-8 years 4. □ 9-11 years 5. □ 12-14 yesrs O What factors most influenced your selection of this product? (Check a maximum of two.) 1. □ Brand reputation 2. □ Dealer reputation 3. □ Previous experience with products of this brand I 4. □ Previous experience with this dealer —J 5. □ Price 6. □ Energy efficiency 7. O Location of dealer _J 8. □ Dealer’s installation policy 9. □ Friend’s/relative’s recommendation 10. □ Contractor’s/dealer’s recommendation 11. □ Other 8. □ 21-24 years 9. □ Over 24 years » If this is a replacement, what brand did you previously own? 1. □ Amana 2. □ Bryant 3. □ Carrier 4. □ Day & Night 5. □ Heil 6. □ Janitrol 7. □ Lennox 8. □ Payne 9. □ Rheem 10. □ Ruud 11. □ Snyder 12. □ Tempstar 13. □ Trane 14. □ York 15. □ Other_ ) Date of birth of person whose name appears above: i M i i Month Year I Excluding yourself, what is the SEX and AGE (in years) of children and other adults living your household? 1. □ No one else in household Male Female Age Male 1. □ 1. □ 2. □ 2. □ I_I_I years years 1. □ 1. □ 2. □ I | 2. □ I I Jyear Jyear © Marital Status: 1. □ Married 2. □ Divorced/Separated Occupation: 3. □ Widowed 4. □ Never Married (Single) You Spouse Homemaker.................. ......□ 1. □ Professional/Technical............ ......□ 2. □ Upper Management/Executive........ ......□ 3. □ Middle Management.............. ......□ 4. U Sales/Marketing................ ......□ b. U Clerical or Service Worker.......... .....□ 6. u Tradesman/Machine Oper ./Laborer..... ......□ 7. □ ......□ 8. □ ......□ 9. □ Self Employed/Business Owner............□ 10. □ Which group describes your annual family income? 1. □ Under $15,000 7. □ $40,000-$44,999 2. □ $15,000-$19,999 8. □ $45,000-$49,999 3. □ $20,000-$24,999 9. □ $50,000-$59,999 4. □ $25,000-$29,999 10. □ $60,000-$74,999 5. □ $30,000-$34,999 11. □ $75,000-599,999 6. □ $35,000-$39,999 12. □ $100,000&over ® Education: (please check those which apply) You Spouse Some High School or Less...............□ 1. □ Completed High School.................□ 2. □ Vocational/Technical School..............□ 3. □ Some College......................□ 4. □ Completed College...................□ 5. □ Some Graduate School.................□ 6. □ Completed Graduate School..............□ 7. □ ) Which credit cards do you use regularly? 1. □ American Express, Diners Club 2. □ MasterCard, Visa, Discover 3. □ Department Store, Oil Company, etc. 4. □ Do not use credit cards 0 For your primary residence, do you: 1. □ Own a House? 2. □ Own a Townhouse or Condominium? 3. □ Rent a House? 4. □ Rent an Apartment, Townhouse or Condominium? To help us understand our customers’ participating on a regular basis: 01. □ Bicycling Frequently 02. □ Golf 03. □ Physical Fitness/Exercise 04. □ Running/Jogging 05. □ Snow Skiing Frequently lifestyles, please indicate the interests and activities in which you or your spouse enjoy 06. □ 07. D 08. □ 09. □ 10. □ 11. □ 12. □ 13. □ 14. □ 15. □ 16. □ 17. □ Tennis Frequently Camping/Hiking Fishing Frequ...