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Today's Date:

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First Name:

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Apt. No.

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Daytime Phone:

Evening Phone:

Date of Purchase:

Purchased From:

 New Vehicle Dealer

 CORSA Website

Other 

 CORSA Direct

 Mail Order

 Installer

 Performance Dealer

If purchased from other than CORSA Direct:

Purchased Name:

Street Address:

City:

State/Province:

Select One Alabama Alaska Arizona Arkansas California Colorado Conneticut Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP/Postal Code:

Phone:

Country:

CORSA Product Purchased:

Exhaust System    Exhaust Tip   Corvette C5 Crossover Pipe

        Other 

VEHICLE APPLICATION:

Manufacturer:

Make:

Model:

Year:

1) EXHAUST TYPE: (check one)

  Pace Car Edition

  Touring

  Sport

  Titanium

  Track

2) EXIT STYLE: (check one)

  Single Side Exit

  Dual Side Exit

  Single Rear Exit

  Dual Rear Exit

3) TIP STYLE: (check one)

  Classic

  Pro-Series 3.5

  Tiger Shark

  GTR / Specter Werkes

  Daytona

  Pro-Series 4.0

  Wide Mouth

  Oval, Angle Cut

  Off Road

Other:

WE WANT TO KNOW.

Other than this page, have you visited our website?:   Yes    No

What Websites or Chatrooms do you frequently visit?

List sites here

Did you perform the installation yourself?   Yes    No

If "Yes", how would you rate the ease of installation? Pick one 5 (Excellent) 4 3 (Average) 2 1 (Poor)

If "No", and did not perform the installation yourself, please tell us who did?

Name:

Street Address:

City:

State:

Alabama Alaska Arizona Arkansas California Colorado Conneticut Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Select One

ZIP/Postal Code:

Phone:

Country:

Rate your experience with CORSA Performance

Technical Support:

Pick one 5 (Excellent) 4 3 (Average) 2 1 (Poor)

Rate the Quality of
your CORSA Product:

Sales Assistance:

Pick one 5 (Excellent) 4 3 (Average) 2 1 (Poor)

How did you first learn of CORSA?

Magazine Name:

  Friend

  Auto Dealer

  Internet

  Car Show/Event

  TV

Other:

What features and/or factors might have influenced your purchase of a CORSA product? (Check all that apply)

  Sound

  Appearance

  CORSA reputation

  No interior resonance

  Exhaust tip options

  Ease of installation

  Horsepower gain

  Patented* RSC technology

  Warranty

  CORSA website

  Price

  CORSA internet sound page

  Dealership add-on

  Availability

Other

*U.S. Patent Numbers 5,952,625 / 6,199,658 / Other Patents Pending

How would you best describe the sound of your CORSA exhaust system?

Comments:

Enter text here

Do we have your permission to publish your comments and first name?  Yes    No

TELL US ABOUT YOURSELF.

At what dealership did you purchase your vehicle?

Name:

Street Address:

City:

State/Province:

Alabama Alaska Arizona Arkansas California Colorado Conneticut Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Select One

ZIP/Postal Code:

Phone:

Country:

What other vehicles do you own?

Make:

Model:

Year:

Make:

Model:

Year:

Make:

Model:

Year:

Make:

Model:

Year:

Do you own a boat or motorcycle?

Boat Make:

Motorcycle Make:

Model:

Model:

Year:

Year:

Do you plan to purchase a new car / truck / SUV in the next 6-12 months?

  Yes    No

If yes, Make:

Model:

Year:

What magazine publications do you read regularly?

Publication 1:

Publication 2:

Publication 3:

Publication 4:

What automotive TV programs do you view on a regular basis?

Show 1:

Show 2:

Show 3:

Show 4:

Additional comments and suggestions:

Enter comments here

Would you like to receive future information from CORSA such as special offers, new product announcements, newsletters, etc?

 Yes    No

 Mailed items only

 e-mail only

 Both mail and e-mail

Thank you for taking the time to complete our warranty registration and customer satisfaction questionnaire.
The information you have provided will assist us in evaluating our product, monitoring quality standards and making necessary improvements to better service our customers. Again, thank you.