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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. vm 5 Date of Installation: jP Importanll For proper registration, please fill in the model number, and serial number of this product: A. Model Number: I I i I I I I i I I i i i i i i IMPORTANT! IMPORTANT! Please Fill Out And Return Within The Next 10 Days. Ф 0 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 House9 2. □ Own a Townhouse or Condominium? 3. □ Rent a House? 4. □ Rent an Apartment, Townhouse or Condominium? D t. □ Mr. 2. D Mrs. First Name I I I I I I I Street I I I I I I I I I I I 3. □ Ms. 4. □ Miss Initial Last Name J_1 U I I II I M I I I j I I I I Apt. No. .....1 I I I I I I I I,I 89G01-01 To help us understand our customf rs’ lifestyles, please indicate the interests and activities in which you or your spouse enjoy participating on a regular basis: City I I I I I II I I I State ZIP Code LL 1.1. Month Day Year B. Serial Number; I -LI I I I I i J What type of product is this? 1. □ Central Air Conditioner 2. □ Gas Furnace 3. □ Oil Furnace D Electric Furnace © 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-1 5. Q Price 6. □ Energy efficiency 7. □ Location of dealer J_J 8. □ Dealer's installation policy 9. □ Friend's/relative's recommendation 10. □ Contractor's/dealer's recommendation 11. n Other 01. U Bicycling Frequently 18. □ Crafts 35. □ Gourmet Cooking 02. □ Golf 19 О Automotive Work 36. О Wines 03. □ Physical Fitness/Exercise 20. a Electronics 37. □ Coin/Stamp Collecting 04. □ Running/Jogging 21 a Home Workshop/Do It Yourself 38. □ Collectibles/Collections 05. П Snow Skiing Frequently 22. a Recreational Vehicles 39. □ Our Nation's Heritage 06. О Tennis Frequently 23. □ Stereo, Records/Tapes/CDs 40. □ Real Estate Investments 07. О Camping/Hiking 24. □ Buy Pre-Recorded Videos 41. □ Stock/Bond Investments 08 □ Fishing Frequently 25. D Avid Book Reading 42. □ Entering Sweepstakes 09. □ HuntingfShooting 26. □ Bible/Devotional Reading 43. □ Casino Gambling 10. П Power Boating 27. □ Health/Natural Foods 44. □ Science Fiction 11. □ Sailing 28. □ Photography 45. □ Wildlife/Environmental Issues 12. □ House Plants 29. □ Home Furnishing/Decorating 46. □ Dieting/Weight Control 13. П Grandchildren 30. LJ Attending Cultural/Arts Events 47. П Science/New Technology 14. □ Needlework/Knitting 31. a Fashion Clothing 48. □ Self Improvement 15. П Vegetable Gardening 32. G Fine ArtfAntiques 49. □ Walking for Health 16. □ Flower Gardening 33. □ Foreign Travel 50. О Watching Sports on TV 17. О Sewing 34. u Travel in the USA Using the numbers in the above list, please indicate the 3 most important activities for. You L_L Spouse I_I_II_I_II_LJ Please check all that apply to your household: 1 a Regularly Purchase Items 4. G Support Health Charities 0 Date of birth of person whose name appears above: Through the Mail 2. □ Military Veteran in Household 3 □ Member of Frequent Flyer Program 5. □ Subscribe to Cable TV 6. ü Have a Microwave Oven 7. U Have a CD Player 8. □ Have a VCR 9. □ Use a Personal Computer 10. □ Have a Dog 11. □ Have a Cat 5. D Heat Pump > g A. Price paid for this product (excluding installation charges and sales tax): Month Jl9l Year 0 Excluding yourself, what Is the SEX and AGE (in years) of children and other adults living your household? 1. □ No one else in household $ l_ 1 1 1 1 1 nn Male Female Aae Mals Female Me B. Price paid for installation: 1. □ 2. a I.....I I years 1. □ 2. □ I I I years s L_ 1 1 1 1 1 .nrt 1. Ü 2. D I I I years 1. □ 2. □ I I I years Thanks for taking the time to fill out thi* questionnaire Your answers will be used for market research studies and reports — and will help us better serve you In the future They will also allow you lo roceive important mailings and special offers from a number of Una companies whose products and services relate dnecily to ths specific inter #sls. hobbies, and other information indicated above Through this selective pragiam. you will be able to obtain more information about activities in which you are involved and less about those inwihtcii you are not. Please check here if. tor some reason, you would prefer oof to participate in this opportunity n if you have comments or suggestions about our product please write to: Carrier Consumer Relations Department P.O. Box 4608 Syracuse, NY 13221 or call 1-800-C-...