First Name: Last Name:
Address:
City: State: Zip:
Phone: Date of Birth:
Email:
Hull ID #: Kayak Model:
Purchased From: Price:
Date of Purchase: Is this your 1st purchase? YES NO
Main factor in choosing Malibu Kayaks?
Stability Sit-on-top Dry Seating Recommended
Primary reason for your purchase of a kayak?
Fishing Recreational Family Fun Surfing
Major influence in the purchase of a Malibu Kayaks product?
(check all that apply)
What other kayak brands have you owned?
Other brands considered prior to purchase? (check all that apply)
How did you find your Malibu Kayaks retailer? (check all that apply)
Are there any other comments you would like to tell us?
Dagger Dimension Eddyline
Emotion Feathercraft Herritage
Hobie Liquid Logic Mad River
Necky Ocean Kayak Old Town
Pelican Perception Wilderness System
Dealer/Retailer Ad Google/Search
Engine
Previous Experience
at Dealer/Retailer
Friend’s
Recommendation
Yellow Pages Newspaper/
Magazine Ad
Malibu Kayaks
Website
Factory/Referral
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