Makita MAC700 Owners Manual - Page 19

MAIL THIS PORTION Your answers to the following questions are appreciated. 1. This product was purchased from: Home Center Other ( Hardware/Lumber Store Tool Distributor Industrial Supply Construction Supply 2.Use of the product is intended for: Construction Trade Industrial Maintenance Home Maintenance Hobby Other ( ) 5. Any comments: 3. How did you learn about this product: ) Magazine Radio From Dealer Exhibition Newspaper From Friend Store Display Previous Usage Catalog Other ( ) 4. Most favored points are: Design Repair Service Features Durability Size Power Price Other ( ) Makita Brand DATE PURCHASED MONTH DAY YEAR INTL. LAST NAME/COMPANY NAME MODEL NO. SERIAL NO. STATUS Married Single SEX M F STREET ADDRESS CITY STATE ZIP CODE PHONE AREA CODE AGE: Under 19 20-29 30-39 40-49 50-59 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 Number (714) 522-8133 Page 19