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Dealer address Date of purchase
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Name: ..........................................................................................................................
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Address: .......................................................................................................................
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Town: ..........................................................................................................................
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Postal code: ...................................................................................................................
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Was this tool a gift?
Yes
No
Was this tool your first purchase?
Yes
No
Was this tool bought as a replacement?
Yes
No
Dealer address: ................................................................................................................
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...............................................................................................................................
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...............................................................................................................................
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