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Address of the dealer where your corded drill was purchased:
Date of your purchase:
Was your corded drill a gift?
Was your corded drill your first purchase?
Was your corded drill bought as a replacement?
What was the price of your corded drill?
Address of the dealer where your corded drill was purchased:
Name:
House number or name and street:
Town:
County or state:
Postcode:
Country:
Product catalogue number:
KD____/___
Data protection act: Tick this box if you prefer not to receive
information from Black & Decker or other companies.
Yes No
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