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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________________________________________________
qMale qFemale
Address___________________________________________________
City_______________________________State_____Zip___________
Your Email Address________________________________________
Purchased from:
qSpecialty store qMail order qDepartment store
qInternet company qReceived as gift
Name of retailer____________________________________________
Purchase Date_______________ Purchase Price $_____________
Reasons for buying this product:
qConcept/Features qSaw it on TV qPrint advertising
qRetailer recommendation qRecommended by a friend
Do you use an espresso/cappuccino machine regularly?
qYes qNo
I drink (mark all that applies):
qRegular coffee qCappuccino qLatte qEspresso
qHot Chocolate
What other espresso machine did you use before?
qNone qKrups qSalton qGaggia qDeLonghi
qBreville qCuisinart qOther:___________________________
Would you like more information about our products?
qYes qNo
Your annual household income:
qUnder $50,000
q$50,000 – $100,000 q$100,000 – $250,000 q$250,000 +
Your age group:
qUnder 25 q25–40 q41–45 q46-55
q56-65 q65 +
Any suggestions on how we can improve this product?
__________________________________________________________
__________________________________________________________
Would you recommend this product to your friends?
qYes qNo
Mail to JURA-CAPRESSO Inc.,
P.O. Box 775, CLOSTER, NJ 07624
or FAX to: (201) 767-9684.
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