
Dealer address
Date of purchase
  | ✁  | 
Name:  | Was this tool bought as a replacement?  | 
Address:  | Yes  | 
  | No  | 
Town:  | 
  | 
Postal code:  | Dealer address: | 
  | ..................................................................................................................  | 
Was this tool a gift?  | ..................................................................................................................  | 
Yes  | Data protection act:  | 
No  | Tick the box if you prefer not to receive further information.  | 
Was this tool your first purchase?  | 
  | 
Yes  | 
  | 
No  | 
  | 
21