Specifications

MAIL THIS PORTION
Your answer to the following questions are appreciated.
1.This product was purchased from:
0 Home Center 0 Other ( ) 0 Magazine 0 Radio
0 Hardware/Lumber Store
0 Tool Distributor
0 Industrial Supply
0 Store Display 0 Previous usage
0 Construction supply
0 Catalog 0 Other (
3. How did you learn of about this product:
0 From Dealer 0 Exhibition
Newspaper 0 From Friend
4. Most favored points are:
2. Use of the product is intended for:
0 Construction Trade
0 Industrial Maintenance
0 Home Maintenance
0 Hobby
0 Other ( )
5. Any comments:
0 Design
Features
0 Size
0 Price
0 Makita Brand
0 Repair Service
0 Durability
0 Power
0 Other (
I
MODEL NO.
ATE PURCHASED
YEAR
SERIAL NO.
STATUS SEX
Married Single M F
rlTL.
LAST NAME / COMPANY NAME
,TREET ADRESS
:ITY
AREA
CODE
STATE ZIP CODE PHONE
[IIIII
AGE: 0 Under 19 0 20-29 0 30.39 0 40-49 c] 50-60 0 over 60
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Please return this portion by facsimile or mail.
Facsimile No. (714) 522-81 33