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	Models Purchased:
	*Model Type:	Model Number:	Quantity:	Date Purchased (mm/dd/yyyy):
	Performance Gear (PG) SM Beta KSM VP Easyflex (EZ) Microflex (MX) Classics (55SH, 520 DX) Karaoke (8900 WD, 6001) Other Performance Gear (PG) PGX SLX ULX UHF-R T-UT UHF UC PSM200 PSM400 PSM600 PSM700 Auxpander DFR Line P4800 SCM Line FP Line Other (M Line, etc.) Conference One Whitelabel M Series SC Series E2 E3 E4 E5 SCL2 SCL3 SCL4 SCL5
	Performance Gear (PG) SM Beta KSM VP Easyflex (EZ) Microflex (MX) Classics (55SH, 520 DX) Karaoke (8900 WD, 6001) Other Performance Gear (PG) PGX SLX ULX UHF-R T-UT UHF UC PSM200 PSM400 PSM600 PSM700 Auxpander DFR Line P4800 SCM Line FP Line Other (M Line, etc.) Conference One Whitelabel M Series SC Series E2 E3 E4 SCL2 SCL3 SCL4 SCL5
	Performance Gear (PG) SM Beta KSM VP Easyflex (EZ) Microflex (MX) Classics (55SH, 520 DX) Karaoke (8900 WD, 6001) Other Performance Gear (PG) PGX SLX ULX UHF-R T-UT UHF UC PSM200 PSM400 PSM600 PSM700 Auxpander DFR Line P4800 SCM Line FP Line Other (M Line, etc.) Conference One Whitelabel M Series SC Series E2 E3 E4 E5 SCL2 SCL3 SCL4 SCL5
	Where did you purchase this product?
	Dealer Type	Dealer Name
	Local Music Store Chain or Superstore Shure.com E-Tailer Online Auction Site Catalog Sound Contractor Audio/Video Dealer Other

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	Which of the following product(s) are you planning to purchase in the next 12 months?
	Wired Microphone   Digital Signal Processor   Personal Monitor System   Phonograph Cartridge   Cellular Accessories		Wireless Microphone Mixer Earphones Discussion System

More About You

	I am a:
	Musical Artist	Live Sound Engineer
	Studio Engineer	Sound Contractor/Consultant
	Music Educator	Music/Choral Director
	Worship Leader	Broadcast/Media Producer
	Home Recordist	Gamer/Music Enthusiast
	I use Shure Products for:
	Vocals	Guitar/Bass
	Keyboards	Brass/Woodwinds
	Drums/Percussion	DJ/Turntablist
	Personal Use/Gaming/Listening to Music

Stay in Touch

	Shure offers a number of free communications (most are electronic) for professional and personal audio users. Sign up today!
	Pro Audio Communications
		Shure Notes/Musician - online newsletter for those who record and perform - 6X/year.
		Shure Notes/House of Worship - online newsletter for houses of worship - 6X/year.
		Shure Newsline - (plain text) online newsletter for houses of worship - 4X/year.
		Product Announcements - new products and updates.
		Special Promotions - new products and updates.
		On Tour With Shure - tri-annual music magazine (print). Note: You must fill in complete mailing address information to receive this three times yearly publication.
		Events and Seminars - Workshops and events in your area.
		Please include me in Pro Audio surveys.
	Personal Audio Communications
		Personal Audio News
		PLAYBACK Magazine - We've partnered with the editors of PLAYBACK, a new monthly online magazine, to bring you music reviews, artist interviews and hot product features.
		Please include me in Personal Audio surveys.

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