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1.Thisproduct waspurchasedfrom:
HomeCenter
Hardware/LumberStore
ToolDistributor
Industrial Supply
Construction Supply
Other( )
3.Howdid you learnabout thisproduct:
Magazine
From Dealer
Newspaper
StoreDisplay
Catalog
Radio
Exhibition
From Friend
PreviousUsage
Other( )
2.Use of theproductis intendedfor:
ConstructionTrade
Industrial Maintenance
HomeMaintenance
Hobby
Other( )
4.Most favoredpoints are:
RepairService
Durability
Power
Other( )
Design
Features
Size
Price
MakitaBrand
5.Anycomments:
MAIL THIS PORTION
Your answer to the following questions are appreciated.
BE SURETO COMPLETETHE CUSTOMER’S PORTION OFTHIS FORMAND RETAIN FORYOURRECORDS.
DA TEPURCHASED MODELNO.
SERIALNO.
INTL. LASTNAME /COMPANYNAME
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
Please return this portion by facsimile or mail.
Facsimile No: (714) 522-8133
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