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CAPRESSO Product Registration
CM200 #476
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 Capresso.
Please print clearly
Last Name_________________________________________________________________
First Name_______________________________________________ ❑ Male ❑ Female
Address___________________________________________________________________
City_________________________________________State_______Zip________________
Your Email Address_________________________________________________________
Purchased from: ❑ Specialty store ❑ Mail order ❑ Department Store
❑ Website ❑ Received as gift
Name of retailer_____________________________________________________________
Purchase Date_______________ Purchase Price $_____________
Reasons for buying this product:
❑ Concept/Features ❑ Stainless steel heating element ❑ Price
❑ Design ❑ Print advertising ❑ Store recommendation ❑ Recommended by friend
I drink (mark all that apply):
❑ Regular coffee ❑ Decaff Coffee ❑ Cappuccino ❑ Latte ❑ Espresso
What other coffee maker did you use before?:
❑ None ❑ Mr. Coffee ❑ Krups ❑ Cuisinart ❑ Capresso
❑ Other:______________________________
Would you like more information about our products?: ❑ Yes ❑ No
Your annual household income:
❑ Under $50,000 ❑ $50,000 – $100,000 ❑ $100,000 – $250,000 ❑ $250,000 +
Your age group: ❑ Under 25 ❑ 25–40 ❑ 41–45 ❑ 46-55 ❑ 56-65 ❑ 65 +
Any suggestions on how we can improve this product?
___________________________________________________________________________
___________________________________________________________________________
Would you recommend this product to your friends?: ❑ Yes ❑ No
Mail to Jura-Capresso Inc., P.O. Box 775, CLOSTER, NJ 07624
or FAX to: (201) 767-9684.
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