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  | Dethmers Manufacturing Company  | 
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  | 4010 320th Street • Box 189 • Boyden, Iowa 51234  | 
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  | Toll Free   | 
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  | Satisfied  | Satisfied  | Dissatisfied Dissatisfied  | |||||
How satisfied are you with our product?  | 
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How satisfied are you with the dealership/distributor sales staff?  | ❍  | ❍  | ❍  | ❍  | ||||||||||
Dealer/Distributor Name  | 
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How satisfied are you with the company sales staff?  | 
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How satisfied are you with the delivery?  | 
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Did you have any contact with a Demco Representative?  | 
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If YES, how satisfied were you?  | 
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I would recommend this product to my family and friends.  | 
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Would you purchase again from DEMCO? | 
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Since taking delivery, have you been contacted by the dealer?  | 
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Did you have any problems with this DEMCO product? | 
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If YES, are you satisfied with the company’s resolution of your problem?  | ❍  | ❍  | ❍  | ❍  | ||||||||||
Why did you purchase this product?  | 
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Please list the specific source of information prompting this purchase.  | 
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After purchasing this product, do you see any needed product improvement?  | 
  | If yes, what improvement?  | 
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What other products would you like to see DEMCO offer?
Comments
Owner’s Name:  | 
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  | Mailing Address:  | ||||
City:  | 
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  | Zip Code:  | 
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Model#:
Serial #:
Purchase Date:
Owner’s Signature:
Please return to DETHMERS MFG. CO. By FAX or 
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