| Customer Name: | |
| Will you return to us for future purchases?: | |
| How would you rate your experience with us?? | |
| Where else did you look?: | |
| Why did you decide to buy from us?(check all that appy) | Price Trailer availalbility
Customer ServicePast experience goodProduct Financing Options Other |
| How did you hear about us? Please check all that apply. | Word of mouth Radio OtherNewspaper Phonebook |
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| Would you like to hear about specials coming up??: | |
| E-mail address: | |
| Comments: | |
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