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1.Thisproduct was purchased from:
HomeCenter
Hardware/LumberStore
ToolDistributor
IndustrialSupply
ConstructionSupply
Other( )
3.How did you learn about this product:
Magazine
FromDealer
Newspaper
StoreDisplay
Catalog
Radio
Exhibition
FromFriend
PreviousUsage
Other( )
2.Use of the product is intended for:
ConstructionTrade
IndustrialMaintenance
HomeMaintenance
Hobby
Other( )
4.Most favored points are:
RepairService
Durability
Power
Other( )
Design
Features
Size
Price
MakitaBrand
5.Any comments:
MAIL THIS PORTIONYouranswers to the following questions are appreciated.
BESURE TO COMPLETE THE CUSTOMER’SPORTION OF THIS FORM AND RETAIN FORYOUR RECORDS.DATEPURCHASED MODELNO.
SERIALNO.
INTL. LASTNAME / COMPANY NAME
STREETADRESS
CITY
STATE
AGE:
ZIPCODE PHONE
AREA
CODE
STATUS
Married
SEX
MF
Single
MONTH DAY YEAR
Under19 20-29 30-39 40-49 50-60 Over60