Capresso Café, Model #115 Product Registration
Please complete this registration after you have used your
machine for a few days. Your information will help us to better
serve you in the future.
Thank you for buying from JURA-CAPRESSO.
Please print clearly
Last Name________________________________________________
First Name________________________________________________
q
Male
q
Female
Address___________________________________________________
City_______________________________State_____Zip___________
Your Email Address________________________________________
Purchased from:
q
Specialty store
q
Mail order
q
Department store
q
Internet company
q
Received as gift
Name of retailer____________________________________________
Purchase Date_______________ Purchase Price $_____________
Reasons for buying this product:
q
Concept/Features
q
Saw it on TV
q
Print advertising
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Retailer recommendation
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Recommended by a friend
Do you use an espresso/cappuccino machine regularly?
q
Yes
q
No
I drink (mark all that applies):
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Regular coffee
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Cappuccino
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Latte
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Espresso
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Hot Chocolate
What other espresso machine did you use before?
q
None
q
Krups
q
Salton
q
Gaggia
q
DeLonghi
q
Breville
q
Cuisinart
q
Other:___________________________
Would you like more information about our products?
q
Yes
q
No
Your annual household income:
q
Under $50,000
q
$50,000 – $100,000
q
$100,000 – $250,000
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$250,000 +
Your age group:
q
Under 25
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25–40
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41–45
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46-55
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56-65
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65 +
Any suggestions on how we can improve this product?
__________________________________________________________
__________________________________________________________
Would you recommend this product to your friends?
q
Yes
q
No
Mail to JURA-CAPRESSO Inc.,
P.O. Box 775, CLOSTER, NJ 07624
or FAX to: (201) 767-9684.
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Cafe Inst Book Drop 7/27/09 1:56 PM Page 19
