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MAIL THIS PORTION
Your answers to the following questions are appreciated.
1.This product was purchased from:
0
Home Center
Other (
)
0
Magazine
0
Radio
0
HardwareiLumber Store
0
From Dealer
0
Exhibition
0
Tool Distributor
0
Newspaper
From Friend
0
Industrial Supply
0
Store Display
0
Previous usage
3. How did you learn about
this
product
0
Construction supply
0
Catalog
0
Other (
1
2. Use of the product is intended for:
0
Construction Trade
0
Industrial Maintenance
Home Maintenance
0
Hobby
0
Other (
)
5. Any comments:
4. Most favored points are:
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Design
0
Repair Service
0
Features
0
Durability
0
Size
0
Power
0
Makita Brand
0
Price
0
Other (
)
DATE PURCHASED
MODEL NO.
YEAR
SERIAL NO.
STATUS
SEX
Married Single
M
F
INTL.
LAST NAME
/
COMPANY NAME
STREET ADRESS
AREA
CODE
STATE
ZIP CODE
PHONE
AGE:
0
Under 19
20.29
0
30-39
0
40-49
0
50-60
0
Over
60
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B E SURE TO COMPLETE THE CUSTOMER'S PORTION O F THIS FORM AND RETAIN
FOR
YOUR RECORDS
Please return this portion by facsimile or mail.
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