18
Your answers to the following questions are appreciated.
Date Purchased Model No.
Serial No.
Initial Last Name
Street Address
City Province
AGE:
Male Female MarriedSingle
Month Day Year 20
Under 19 20-29 30-39 40-49 Over 50
Paste Paste Paste Paste Paste Paste Paste Paste
Paste Paste Paste Paste Paste Paste
Paste Paste Paste Paste Paste Paste
1. This product was purchased from?
Industrial Supply
Other ( )Tool Distributor
Hardware/lumber Store
2. Use of the product is intended for?
5. Any comments?
Home maintenance
Other ( )Industrial maintenance
Construction trade
3. How did you first learn of Makita Power Tools?
Catalog
Other ( )From dealer
Magazine/Newspaper
Store display
4. Most favored points are?
Makita Brand
PowerFeatures
Design
Other ( )Size
Price
Occupation:
Dealer's Name & Address:
Postal Code
Certificate of Warranty
Mail to Makita