AMT ACCEL-5350 Warranty
Series Printers Registration
Please complete this form and return it to AMT Dataouth within 10 days of installation.
Name Title
Company name Department E-mail
Address
City State ZIP Phone
Printer model
ACCEL-5350 ACCEL-5350d Printer serial number
ACCEL-5350dsi ACCEL-5350si
Date purchased Where purchased
Please answer the following questions. This information will help AMT meet your future printer needs.
FOLD ON DASHED LINE (LOCATED ON REVERSE SIDE), TAPE AND MAIL
1. Which industry classification most closely
describes your organization? Check one.
Accounting Manufacturing
Agriculture Medical/dental
Banking/finance Non-profit organization
Construction Printing/publishing
Data processing Real estate
Education Research
Engr./architectural Retail trade
Government Transportation
Insurance Wholesale trade
Legal Other: ___________
2. How many persons are employed by your
organization?
Self-employed 50-99
2-9 100-500
10-49 Over 500
3. How did you learn about AMT printers?
Advertisement Computer dealer
Article Trade show
Colleague Other: ___________
If an advertisement or article, what magazine?
____________________________________________
If a trade show, what show?
____________________________________________
4. What was your main reason for purchasing an
AMT printer? Check one.
Capabilities Reliability
Flexibility Compatibility
Price System component
Recommendation Other: ___________
5. What software packages do you use?
____________________________________________
____________________________________________
6. What brand of computer do you use?
____________________________________________
7. For what applications will you use your printer?
____________________________________________
____________________________________________
____________________________________________
8. Please rate the vendor that sold you the printer:
Excellent Good Fair Poor
Installation
Training
Knowledge
Follow-through
Overall
AMT ACCEL-5350 Warranty
Series Printers Registration
Please complete this form and return it to AMT Dataouth within 10 days of installation.
Name Title
Company name Department E-mail
Address
City State ZIP Phone
Printer model
ACCEL-5350 ACCEL-5350d Printer serial number
ACCEL-5350dsi ACCEL-5350si
Date purchased Where purchased
Please answer the following questions. This information will help AMT meet your future printer needs.
FOLD ON DASHED LINE (LOCATED ON REVERSE SIDE), TAPE AND MAIL
1. Which industry classification most closely
describes your organization? Check one.
Accounting Manufacturing
Agriculture Medical/dental
Banking/finance Non-profit organization
Construction Printing/publishing
Data processing Real estate
Education Research
Engr./architectural Retail trade
Government Transportation
Insurance Wholesale trade
Legal Other: ___________
2. How many persons are employed by your
organization?
Self-employed 50-99
2-9 100-500
10-49 Over 500
3. How did you learn about AMT printers?
Advertisement Computer dealer
Article Trade show
Colleague Other: ___________
If an advertisement or article, what magazine?
____________________________________________
If a trade show, what show?
____________________________________________
4. What was your main reason for purchasing an
AMT printer? Check one.
Capabilities Reliability
Flexibility Compatibility
Price System component
Recommendation Other: ___________
5. What software packages do you use?
____________________________________________
____________________________________________
6. What brand of computer do you use?
____________________________________________
7. For what applications will you use your printer?
____________________________________________
____________________________________________
____________________________________________
8. Please rate the vendor that sold you the printer:
Excellent Good Fair Poor
Installation
Training
Knowledge
Follow-through
Overall