MAIL THIS PORTION
Your answers to the following questions are appreciated.
1. This product was purchased from: |
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| 3. How did you learn about this product: |
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| Home Center |
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| Other ( | ) |
| Magazine |
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| Radio |
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| Hardware/Lumber Store |
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| From Dealer |
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| Exhibition |
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| Tool Distributor |
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| Newspaper |
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| From Friend |
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| Industrial Supply |
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| Store Display | Previous Usage |
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| Construction Supply |
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| Catalog |
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| Other ( |
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2.Use of the product is intended for: |
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| 4. Most favored points are: |
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| Construction Trade |
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| Design |
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| Repair Service |
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| Industrial Maintenance |
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| Features |
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| Durability |
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| Home Maintenance |
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| Size |
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| Power |
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| Hobby |
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| Price |
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| Other ( |
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| Other ( | ) |
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| Makita Brand |
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5. Any comments: |
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| DATE PURCHASED |
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| MODEL NO. |
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| MONTH |
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| DAY | YEAR |
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| SERIAL NO. |
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| STATUS |
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| SEX | |||||||
| INTL. LAST NAME/COMPANY NAME |
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| Married Single | M | F | |||||||||||||||||||||||
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| STREET ADDRESS |
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| AREA CODE |
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| STATE |
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| PHONE |
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| AGE: | Under 19 |
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| Over 60 |
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BE SURE TO COMPLETE THE CUSTOMER’S PORTION OF THIS FORM AND RETAIN FOR YOUR RECORDS
Please return this portion by facsimile or mail.
Facsimile Number (714)
Page 19
