Mile Marker PE Series Installation And Operator's Manual page 39

Phone (800) 886-8647 (954) 782-0604 Fax (954) 917-3398 Email: warranty@milemarker.com
First Name:________________________________________________________________________
Last Name:________________________________________________________________________
Age:________
Sex: ________
Marital Status:______________________________________________________________________________
Level of Education:___________________________________________________________________________
City/Province: _______________________________________________________________________________
Zip/Postal Code: _____________________________________________________________________________
Country:___________________________________________________________________________________
Telephone Number:___________________________________________________________________________
Email Address: ______________________________________________________________________________
Which Mile Marker winch did you purchase?________________________________________________________
Model Number:______________________________________________________________________________
Serial Number:______________________________________________________________________________
Date of Purchase:___________________________
Where did you purchase this product?_____________________________________________________________
Store or catalog name: ________________________________________________________________________
Store location:_______________________________________________________________________________
How satisfied were you with the dealer and/or sales staff? _____________________________________________
Who installed or will install your Mile Marker product?________________________________________________
Is this the first time you have purchased a winch?____________________________________________________
If no, what brand have you bought before?_________________________________________________________
What type of vehicle will this Mile Marker winch be installed on? ________________________________________
Year:______________Make:__________________________Model:____________________________________
2WD:____________4WD:____________
What is the vehicles main use?__________________________________________________________________
What other accessories have you purchased for your vehicle?___________________________________________
Do you belong to any 4-Wheel drive club? Yes or No
If so, what is the Club name:___________________________________________________________________
What factors most influenced the purchase of your Mile Marker product? (Check all that apply)
Mile Marker reputation
Previous experience with Mile Marker Inc.
Friend/Relative recommendation
Salesperson's recommendation
Compatibility with vehicle
Quality/Durability
Warranty
Availability
Price
Internet
Advertising
2121 Blount Road Pompano Beach, FL
Salesperson Name: ________________________________
33069
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