Please complete and return this Purchase Registration Card
right away. This information will help us get to know and
service our customers better.
1. ❏ Mr. ❏ Mrs. ❏ Ms. Name:_______________________________
Address:_________________________________________________
_______________________________________________________
2. Model: RCU4GLW
3. Date of Purchase/Receipt as Gift: __________ 4. Price: $ ________
5. Age of Purchaser/Gift Recipient:
❏ 16-25 ❏ 26-35 ❏ 36-45 ❏ 46-55 ❏ 56+
6. What specific need did the Universal Remote help you resolve?
❏ A. Replacing A Lost Remote ❏ B. Replacing A Broken Remote
❏ C. Consolidating Remotes ❏ D. Adding an Extra Remote
7.Where will this remote primarily be used?
and with what brand? TV: _____________________
VCR: ___________________ Cable Box: _____________________
❏ A. Kitchen ❏ B. Bedroom ❏ C. Family Room/Living Room
❏ D. Other ________________________________________________
8. How did you become aware of this remote?
❏ A. Advertisement ❏ B. Salesperson ❏ C. Store Display
❏ D. Received as a Gift ❏ E. Friend or Relative _________________
❏ F.Other_________________________________________________
9.What other brands did you consider buying?
❏ A. None
❏ B. GE ❏ C. One For All ❏ D. Zenith
❏ E. Gemini ❏ F. Sony ❏ G. Other ________
10.What factors most influenced this purchase? (Check up to 3)
❏ A. Brand ❏ B. Features ❏ C. Recommendation
❏ D. Price ❏ E. Received as a Gift ❏ F.Other___________
What suggestions do you have to improve this product?
________________________________________________________
________________________________________________________
________________________________________________________
Thank you for filling out this card. This information will help us better
serve you and others who purchase RCAConsumer Electronics Products.
We will not share your information with any other companies.
RCU4GLW Product Registration Card
