Makita 4013D Instruction Manual page 14

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
[ I I I I I
AGE:
0
Under 19
0
20-29
0
30.39
0
40-49
c ]
50-60
0
over 60
BE SURE TO COMPLETE THE CUSTOMER'S PORTION
OF
THIS FORM AND RETAIN
FOR
YOUR RECORDS
Please return this portion by facsimile or mail.
Facsimile No. (714) 522-81
33