Contact Info
*First Name:
*Last Name:
*Address:
*City:
*State/Province:
*Zip code:
*Country
*CountryAfghanistan (AF) Albania (AL) Algeria (DZ) American Samoa (AS) Andorra (AD) Angola (AO) Anguilla (AI) Antarctica (AQ) Antigua and Barbuda (AG) Argentina (AR) Armenia (AM) Aruba (AW) Australia (AU) Austria (AT) Azerbaijan (AZ) Bahamas (BS) Bahrain (BH) Bangladesh (BD) Barbados (BB) Belarus (BY) Belgium (BE) Belize (BZ) Benin (BJ) Bermuda (BM) Bhutan (BT) Bolivia (BO) Bosnia and Herzegowina (BA) Botswana (BW) Bouvet Island (BV) Brazil (BR) British Indian Ocean Territory (IO) Brunei Darussalam (BN) Bulgaria (BG) Burkina Faso (BF) Burundi (BI) Cambodia (KH) Cameroon (CM) Canada (CA) Cape Verde (CV) Cayman Islands (KY) Central African Republic (CF) Chad (TD) Chile (CL) China (CN) Christmas Island (CX) Cocos (Keeling) Islands (CC) Colombia (CO) Comoros (KM) Congo (CG) Cook Islands (CK) Costa Rica (CR) Cote D'ivoire (CI) Croatia (HR) Cuba (CU) Cyprus (CY) Czech Republic (CZ) Denmark (DK) Djibouti (DJ) Dominica (DM) Dominican Republic (DO) East Timor (TL) Ecuador (EC) Egypt (EG) El Salvador (SV) Equatorial Guinea (GQ) Eritrea (ER) Estonia (EE) Ethiopia (ET) Falkland Islands (Malvinas) (FK) Faroe Islands (FO) Fiji (FJ) Finland (FI) France (FR) France, metropolitan (FX) French Guiana (GF) French Polynesia (PF) French Southern Territories (TF) Gabon (GA) Gambia (GM) Georgia (GE) Germany (DE) Ghana (GH) Gibraltar (GI) Greece (GR) Greenland (GL) Grenada (GD) Guadeloupe (GP) Guam (GU) Guatemala (GT) Guinea (GN) Guinea-Bissau (GW) Guyana (GY) Haiti (HT) Heard and McDonald Islands (HM) Honduras (HN) Hong Kong (HK) Hungary (HU) Iceland (IS) India (IN) Indonesia (ID) Iran (IR) Iraq (IQ) Ireland (IE) Israel (IL) Italy (IT) Jamaica (JM) Japan (JP) Jordan (JO) Kazakhstan (KZ) Kenya (KE) Kiribati (KI) Korea (North) (KP) Korea (South) (KR) Kuwait (KW) Kyrgyzstan (KG) Lao (LA) Latvia (LV) Lebanon (LB) Lesotho (LS) Liberia (LR) Libya Arab Jamahiriya (LY) Liechtenstein (LI) Lithuania (LT) Luxembourg (LU) Macau (MO) Macedonia (MK) Madagascar (MG) Malawi (MW) Malaysia (MY) Maldives (MV) Mali (ML) Malta (MT) Marshall Islands (MH) Martinique (MQ) Mauritania (MR) Mauritius (MU) Mayotte (YT) Mexico (MX) Micronesia (FM) Moldova (MD) Monaco (MC) Mongolia (MN) Montserrat (MS) Morocco (MA) Mozambique (MZ) Myanmar (MM) Namibia (NA) Nauru (NR) Nepal (NP) Netherlands (NL) Netherlands Antilles (AN) New Caledonia (NC) New Zealand (NZ) Nicaragua (NI) Niger (NE) Nigeria (NG) Niue (NU) Norfolk Island (NF) Northern Mariana Islands (MP) Norway (NO) Oman (OM) Pakistan (PK) Palau (PW) Palestinian Territory (PS) Panama (PA) Papua New Guinea (PG) Paraguay (PY) Peru (PE) Philippines (PH) Pitcairn (PN) Poland (PL) Portugal (PT) Puerto Rico (PR) Qatar (QA) Reunion (RE) Romania (RO) Russian Federation (RU) Rwanda (RW) Saint Kitts and Nevis (KN) Saint Lucia (LC) Saint Vincent and The Grenadines (VC) Samoa (WS) San Marino (SM) Sao Tome and Principe (ST) Saudi Arabia (SA) Senegal (SN) Seychelles (SC) Sierra Leone (SL) Singapore (SG) Slovakia (SK) Slovenia (SI) Solomon Islands (SB) Somalia (SO) South Africa (ZA) South Georgia and Islands (GS) Spain (ES) Sri Lanka (LK) St. Helena (SH) St. Pierre and Miquelon (PM) Sudan (SD) Suriname (SR) Svalbard and Jan Mayen Islands (SJ) Swaziland (SZ) Sweden (SE) Switzerland (CH) Syria (SY) Taiwan (TW) Tajikistan (TJ) Tanzania (TZ) Thailand (TH) Togo (TG) Tokelau (TK) Tonga (TO) Trinidad and Tobago (TT) Tunisia (TN) Turkey (TR) Turkmenistan (TM) Turks and Caicos Islands (TC) Tuvalu (TV) Uganda (UG) Ukraine (UA) United Arab Emirates (AE) United Kingdom (GB) United States (US) US Minor Outlying Islands (UM) Uruguay (UY) Uzbekistan (UZ) Vanuatu (VU) Vatican City State (VA) Venezuela (VE) Viet Nam (VN) Virgin Islands (British) (VG) Virgin Islands (U.S.) (VI) Wallis and Futuna Islands (WF) Western Sahara (EH) Yemen (YE) Yugoslavia (YU) Zaire (CD) Zambia (ZM) Zimbabwe (ZW)
*Phone (Home) Include Area Code:
*Email Address:
Can MartinLogan and/or authorized MartinLogan dealers/distributor occasionally send you mail and/or email?
Dealer Info
Date of Purchase:Month: Month:January February March April May June July August September October November December
Day: Day:1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year: Year:2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Date of Delivery:Month: Month:January February March April May June July August September October November December
Day: Day:1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year: Year:2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
*Dealer:
*City:
*State/Province:
*Country:
*Country:Afghanistan (AF) Albania (AL) Algeria (DZ) American Samoa (AS) Andorra (AD) Angola (AO) Anguilla (AI) Antarctica (AQ) Antigua and Barbuda (AG) Argentina (AR) Armenia (AM) Aruba (AW) Australia (AU) Austria (AT) Azerbaijan (AZ) Bahamas (BS) Bahrain (BH) Bangladesh (BD) Barbados (BB) Belarus (BY) Belgium (BE) Belize (BZ) Benin (BJ) Bermuda (BM) Bhutan (BT) Bolivia (BO) Bosnia and Herzegowina (BA) Botswana (BW) Bouvet Island (BV) Brazil (BR) British Indian Ocean Territory (IO) Brunei Darussalam (BN) Bulgaria (BG) Burkina Faso (BF) Burundi (BI) Cambodia (KH) Cameroon (CM) Canada (CA) Cape Verde (CV) Cayman Islands (KY) Central African Republic (CF) Chad (TD) Chile (CL) China (CN) Christmas Island (CX) Cocos (Keeling) Islands (CC) Colombia (CO) Comoros (KM) Congo (CG) Cook Islands (CK) Costa Rica (CR) Cote D'ivoire (CI) Croatia (HR) Cuba (CU) Cyprus (CY) Czech Republic (CZ) Denmark (DK) Djibouti (DJ) Dominica (DM) Dominican Republic (DO) East Timor (TL) Ecuador (EC) Egypt (EG) El Salvador (SV) Equatorial Guinea (GQ) Eritrea (ER) Estonia (EE) Ethiopia (ET) Falkland Islands (Malvinas) (FK) Faroe Islands (FO) Fiji (FJ) Finland (FI) France (FR) France, metropolitan (FX) French Guiana (GF) French Polynesia (PF) French Southern Territories (TF) Gabon (GA) Gambia (GM) Georgia (GE) Germany (DE) Ghana (GH) Gibraltar (GI) Greece (GR) Greenland (GL) Grenada (GD) Guadeloupe (GP) Guam (GU) Guatemala (GT) Guinea (GN) Guinea-Bissau (GW) Guyana (GY) Haiti (HT) Heard and McDonald Islands (HM) Honduras (HN) Hong Kong (HK) Hungary (HU) Iceland (IS) India (IN) Indonesia (ID) Iran (IR) Iraq (IQ) Ireland (IE) Israel (IL) Italy (IT) Jamaica (JM) Japan (JP) Jordan (JO) Kazakhstan (KZ) Kenya (KE) Kiribati (KI) Korea (North) (KP) Korea (South) (KR) Kuwait (KW) Kyrgyzstan (KG) Lao (LA) Latvia (LV) Lebanon (LB) Lesotho (LS) Liberia (LR) Libya Arab Jamahiriya (LY) Liechtenstein (LI) Lithuania (LT) Luxembourg (LU) Macau (MO) Macedonia (MK) Madagascar (MG) Malawi (MW) Malaysia (MY) Maldives (MV) Mali (ML) Malta (MT) Marshall Islands (MH) Martinique (MQ) Mauritania (MR) Mauritius (MU) Mayotte (YT) Mexico (MX) Micronesia (FM) Moldova (MD) Monaco (MC) Mongolia (MN) Montserrat (MS) Morocco (MA) Mozambique (MZ) Myanmar (MM) Namibia (NA) Nauru (NR) Nepal (NP) Netherlands (NL) Netherlands Antilles (AN) New Caledonia (NC) New Zealand (NZ) Nicaragua (NI) Niger (NE) Nigeria (NG) Niue (NU) Norfolk Island (NF) Northern Mariana Islands (MP) Norway (NO) Oman (OM) Pakistan (PK) Palau (PW) Palestinian Territory (PS) Panama (PA) Papua New Guinea (PG) Paraguay (PY) Peru (PE) Philippines (PH) Pitcairn (PN) Poland (PL) Portugal (PT) Puerto Rico (PR) Qatar (QA) Reunion (RE) Romania (RO) Russian Federation (RU) Rwanda (RW) Saint Kitts and Nevis (KN) Saint Lucia (LC) Saint Vincent and The Grenadines (VC) Samoa (WS) San Marino (SM) Sao Tome and Principe (ST) Saudi Arabia (SA) Senegal (SN) Seychelles (SC) Sierra Leone (SL) Singapore (SG) Slovakia (SK) Slovenia (SI) Solomon Islands (SB) Somalia (SO) South Africa (ZA) South Georgia and Islands (GS) Spain (ES) Sri Lanka (LK) St. Helena (SH) St. Pierre and Miquelon (PM) Sudan (SD) Suriname (SR) Svalbard and Jan Mayen Islands (SJ) Swaziland (SZ) Sweden (SE) Switzerland (CH) Syria (SY) Taiwan (TW) Tajikistan (TJ) Tanzania (TZ) Thailand (TH) Togo (TG) Tokelau (TK) Tonga (TO) Trinidad and Tobago (TT) Tunisia (TN) Turkey (TR) Turkmenistan (TM) Turks and Caicos Islands (TC) Tuvalu (TV) Uganda (UG) Ukraine (UA) United Arab Emirates (AE) United Kingdom (GB) United States (US) US Minor Outlying Islands (UM) Uruguay (UY) Uzbekistan (UZ) Vanuatu (VU) Vatican City State (VA) Venezuela (VE) Viet Nam (VN) Virgin Islands (British) (VG) Virgin Islands (U.S.) (VI) Wallis and Futuna Islands (WF) Western Sahara (EH) Yemen (YE) Yugoslavia (YU) Zaire (CD) Zambia (ZM) Zimbabwe (ZW)
*Salesperson's Name:
Product Info Note: Center channels and subwoofers require 1 serial number. Products that are sold in pairs require 2 serial numbers, 1 from each unit.
*Select Model:
*Select Model:Abyss CLX Depth i Descent i Dynamo Dynamo 500 Encore TF Feature Fresco i Grotto i Helos 10 Helos 100 Helos 20 Matinee Montage Mosaic Motif Passage Preface Purity Source Spire Stage Summit Summit X Ticket Vantage Vignette Vista Voyage
*Serial Number:
Select Additional Model:
Select Additional Model:Abyss CLX Depth i Descent i Dynamo Dynamo 500 Encore TF Feature Fresco i Grotto i Helos 10 Helos 100 Helos 20 Matinee Montage Mosaic Motif Passage Preface Purity Source Spire Stage Summit Summit X Ticket Vantage Vignette Vista Voyage
Serial Number:
Select Additional Model:
Select Additional Model:Abyss CLX Depth i Descent i Dynamo Dynamo 500 Encore TF Feature Fresco i Grotto i Helos 10 Helos 100 Helos 20 Matinee Montage Mosaic Motif Passage Preface Purity Source Spire Stage Summit Summit X Ticket Vantage Vignette Vista Voyage
Serial Number:
Select Additional Model:
Select Additional Model:Abyss CLX Depth i Descent i Dynamo Dynamo 500 Encore TF Feature Fresco i Grotto i Helos 10 Helos 100 Helos 20 Matinee Montage Mosaic Motif Passage Preface Purity Source Spire Stage Summit Summit X Ticket Vantage Vignette Vista Voyage
Serial Number:
Select Additional Model:
Select Additional Model:Abyss CLX Depth i Descent i Dynamo Dynamo 500 Encore TF Feature Fresco i Grotto i Helos 10 Helos 100 Helos 20 Matinee Montage Mosaic Motif Passage Preface Purity Source Spire Stage Summit Summit X Ticket Vantage Vignette Vista Voyage
Serial Number:
Survey
Rate the knowledge of the salesperson you worked with.
Rate the knowledge of the salesperson you worked with.1 2 3 4 5 6 7 8 9 10 N/A
Gender
GenderMale Female
Choose one statement below that best describes how you plan to use your new MartinLogan speaker(s).
Choose one statement below that best describes how you plan to use your new MartinLogan speaker(s).I will use them to help me build a great system in my home that I will personally enjoy. I will use them to encourage my family, children and their friends to spend more time at our home. I will use them to create a relaxing environment for me and my spouse/significant other to spend time. Other:
Who encourages you the most to purchase products like this MartinLogan speaker(s).
Who encourages you the most to purchase products like this MartinLogan speaker(s).Myself My spouse or significant other My friends My family My Children Other:
Choose one statement below that best describes how comfortable you are using new technology.
Choose one statement below that best describes how comfortable you are using new technology.I am generally comfortable using new technology. I have been learning and am becoming more comfortable with using new technology. I am not very comfortable and usually ask for help from others when using new technology. Other:
When using your MartinLogan speakers, how often do you participate in the following activities?
Focused music listening
Focused music listeningOften Sometimes Rarely or Not at all
Playing background music
Playing background musicOften Sometimes Rarely or Not at all
Watching movies
Watching moviesOften Sometimes Rarely or Not at all
Watching TV shows
Watching TV showsOften Sometimes Rarely or Not at all
Playing video games
Playing video gamesOften Sometimes Rarely or Not at all
Other:
Often
Sometimes
Rarely or Not at all
What sources did you use to learn about the products before making your purchase decision?
How did you initially learn about MartinLogan?
How did you initially learn about MartinLogan?Audio magazine Sales Associate Internet Home magazine Friend or family member Other
What product features influence your final purchase decision?
What other brands did you consider purchasing?
What other brands did you consider purchasing?a/d/s ACI Acoustic Research Aerial Anthony Gallo Artison Athena Atlantic Avalon B & O B & W Bose Boston Acoustics Cambridge Soundworks Canton Celestion Dali Definitive Technology Dynaudio Elac Elan Energy Focal Genelec Induction Dynamics Infinity Innersound James Jamo JBL JM Lab JVC KEF Klipsch Krell Legacy Linn M & K M-Design Magneplanar MartinLogan MB Quart McIntosh Meridian Mirage Mission Monitor Monster Sound Moprdaunt-Short MTX NHT Niles Nova Ohm Paradigm Paradigm Reference Phase Technology Piega Pinnacle Pioneer Polk ProAC Project PSB Quad RBH REL Revel Russound Sapphire Snell Sonance Sonus Faber Sony SpeakerCraft Sunfire Talon Tannoy Thiel Totem Triad Velodyne Vienna Acoustics Wharfdale Wilson Yamaha Other None
a/d/s
ACI
Acoustic Research
Aerial
Anthony Gallo
Artison
Athena
Atlantic
Avalon
B & O
B & W
Bose
Boston Acoustics
Cambridge Soundworks
Canton
Celestion
Dali
Definitive Technology
Dynaudio
Elac
Elan
Energy
Focal
Genelec
Induction Dynamics
Infinity
Innersound
James
Jamo
JBL
JM Lab
JVC
KEF
Klipsch
Krell
Legacy
Linn
M & K
M-Design
Magneplanar
MartinLogan
MB Quart
McIntosh
Meridian
Mirage
Mission
Monitor
Monster Sound
Moprdaunt-Short
MTX
NHT
Niles
Nova
Ohm
Paradigm
Paradigm Reference
Phase Technology
Piega
Pinnacle
Pioneer
Polk
ProAC
Project
PSB
Quad
RBH
REL
Revel
Russound
Sapphire
Snell
Sonance
Sonus Faber
Sony
SpeakerCraft
Sunfire
Talon
Tannoy
Thiel
Totem
Triad
Velodyne
Vienna Acoustics
Wharfdale
Wilson
Yamaha
Other
None
a/d/s
ACI
Acoustic Research
Aerial
Anthony Gallo
Artison
Athena
Atlantic
Avalon
B & O
B & W
Bose
Boston Acoustics
Cambridge Soundworks
Canton
Celestion
Dali
Definitive Technology
Dynaudio
Elac
Elan
Energy
Focal
Genelec
Induction Dynamics
Infinity
Innersound
James
Jamo
JBL
JM Lab
JVC
KEF
Klipsch
Krell
Legacy
Linn
M & K
M-Design
Magneplanar
MartinLogan
MB Quart
McIntosh
Meridian
Mirage
Mission
Monitor
Monster Sound
Moprdaunt-Short
MTX
NHT
Niles
Nova
Ohm
Paradigm
Paradigm Reference
Phase Technology
Piega
Pinnacle
Pioneer
Polk
ProAC
Project
PSB
Quad
RBH
REL
Revel
Russound
Sapphire
Snell
Sonance
Sonus Faber
Sony
SpeakerCraft
Sunfire
Talon
Tannoy
Thiel
Totem
Triad
Velodyne
Vienna Acoustics
Wharfdale
Wilson
Yamaha
Other
None
a/d/s
ACI
Acoustic Research
Aerial
Anthony Gallo
Artison
Athena
Atlantic
Avalon
B & O
B & W
Bose
Boston Acoustics
Cambridge Soundworks
Canton
Celestion
Dali
Definitive Technology
Dynaudio
Elac
Elan
Energy
Focal
Genelec
Induction Dynamics
Infinity
Innersound
James
Jamo
JBL
JM Lab
JVC
KEF
Klipsch
Krell
Legacy
Linn
M & K
M-Design
Magneplanar
MartinLogan
MB Quart
McIntosh
Meridian
Mirage
Mission
Monitor
Monster Sound
Moprdaunt-Short
MTX
NHT
Niles
Nova
Ohm
Paradigm
Paradigm Reference
Phase Technology
Piega
Pinnacle
Pioneer
Polk
ProAC
Project
PSB
Quad
RBH
REL
Revel
Russound
Sapphire
Snell
Sonance
Sonus Faber
Sony
SpeakerCraft
Sunfire
Talon
Tannoy
Thiel
Totem
Triad
Velodyne
Vienna Acoustics
Wharfdale
Wilson
Yamaha
Other
None
How many of the following, do you have in your system?
Loudspeakers:
Subwoofers:
What other products will you use with your speakers? (ex: Acme brand CD player)
What room(s) in your home will you use your MartinLogan speakers?
Living/Family Room
Dedicated listening room
Dedicated theater room
Bedroom
Kitchen
Basement/Rec room
Other:
When using your speakers, from what source(s) do you most commonly listen to music? (CD, Satelite, iPod, etc.)
What other retailers did you shop before purchasing?
Why did you purchase your speakers at the store you did?
How can we improve your shopping experience?
Do you plan to purchase any additional electronics products within the next year? If so, please list them.
Comments?