Manual

Your answers to the following questions are appreciated.
1, Th_ product was, purchased 1tom:
[] Home Center [] Other (
]Hardware/Lumber Store
[]hdustrial Supply
3, How d_d you _earn about th_ product:
[] Magazine [] Radii)
[] From DeaJer [] Exhibition
[] Newspaper [] From Friend
[] Store Display [] Previous Usage
[] Catalog [] Other(
2, Use ol the product _ _ntended 1or:
]Industrial Maintenance
] Home Maintenance
[] Hobby
[] Other ( )
4, Most _avored points are:
[] Design [] Repair Service
[] Features [] Durability
[]Size []Power
[] Price [] Other(
] Makita Brand
5=Any comment_:
DATE PURCHASED
MONTH DAY
MODEL NO.
YEAR
SERIAL NO.
STATUS
INTL. LAST NAME / COMPANY NAME Married Single
1 ! !
STREET ADFtESS
CITY
STA-[ E ZIP CODE PHONE
AREA
CODE
SEX
M F
AGE: _J UI,der 19 _J 20-29 _J 30-39 _J 40-49 _J 50-60 _J Over 60
BE SURE TO COMPLETE THE CUSTOMERS PORTION OF THIS FORM AND RETAIN FOR YOUR RECORDS,
Please return this portion by facsimile or mail.
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Facsimile No: (714) 522_8!33 i
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