Makita MAC700 Owner's Manual page 19

MAIL THIS PORTION
Your answers to the following questions are appreciated.
1. This product was purchased from:
Home Center
Hardware/Lumber Store
Tool Distributor
Industrial Supply
Construction Supply
2.Use of the product is intended for:
Construction Trade
Industrial Maintenance
Home Maintenance
Hobby
Other ( )
5. Any comments:
DATE PURCHASED
MONTH DAY
INTL. LAST NAME/COMPANY NAME
STREET ADDRESS
CITY
STATE ZIP CODE
AGE: Under 19
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) 522-8133
Other ( )
YEAR
20-29 30-39 40-49
3. How did you learn about this product:
Magazine
From Dealer
Newspaper
Store Display
Catalog
4. Most favored points are:
Design
Features
Size
Price
Makita Brand
MODEL NO.
SERIAL NO.
STATUS
Married Single
AREA CODE
PHONE
50-59 Over 60
Radio
Exhibition
From Friend
Previous Usage
Other ( )
Repair Service
Durability
Power
Other ( )
SEX
M F
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