Your registration is NOT complete until you reach the final step and receive a confirmation screen that you should print for your records.
FIRST NAME:
MIDDLE NAME:
LAST NAME:
DATE OF BIRTH:
-
-
Month-Date
-Year(A.D.)
SEX:
Male
Female
ADDRESS:
City
State/Province
Country
Postal Code
PHONE(1):
PHONE(2):
EDUCATION:
-
Primary school
Secondary school(high school)
College or University
Graduate school
OCCUPATION:
-
Artistic
Computer professional
Doctor
Educators
Engineer or Technology
Financial industry
Homemaker
Legal profession
Management or Business
Mass communication
Scientist or Researcher
Self emplyed
Servants
Service industry
Soldiers
Student
Unemployed
Others
E-mail ADDRESS:
I want to receive Silicon Power's E-Newsletter(Company news and new product information.)
I don't want to receive Silicon Power's E-Newsletter(Company news and new product information.)
PRODUCT NAME:
-
Flash Memory Cards
USB Flash Drives
Card Readers
DRAM Modules
Industrial products
SSD
SPECIFICATION:
-
PART NUMBER:
BARCODE NUMBER:
DATE OF PURCHASE:
ex:2006/9/30
STORE NAME OF PURCHASE:
-
3C Shop
Camera Shop
Computer Accessories Shop
Hypermarket
Mobile Shop
Online Store
SP Shop
Others:
PURCHASE REASON:
-
After-sale Service
Branding
Color
Function
Packaging
Price
Product Design
Promotion
Recommendation from Friends or Family
Recommendation from Salesperson
Others:
How many times do you purchase flash memory prdoucts in one year?
times
Are you willing to purchase Silicon Power's products again?
Yes
No
Are you willing to recommend Silicon Power's products to your friends?
Yes
No
Your Favorite Destination in Asia:
-
Bali Island
Bangkok
Beijing
GuanZhou
Ho Chi Minh
Kuala Lumpur
Manila
Osaka
Pusan
Seoul
Shanghai
Singapore
Taipei
Tokyo
Yangon
Others:
VERIFY CODE:
Before you send this form, check you've filled in all the relevant parts correctly. Only send the form once - sending another does not increase your chance.