1. How Can We Reach You? //,C6mo Podemos Ponernos En Contacto Con Usted? / Comment Pouvons-nous Vous Joindre?
First Name / Nombre / Prenom MJ, / Inicial / Seconde Initiale Last Name / Apellido / Nora
Address / Direccibn / Adresse
State / Estado / Etat Zip Code / Cbdigo Postal / Code Postal
E-mail Address / Direccion De Correo Electrbnico / Adresse E-mail
Apt. # / Apt. # / Appt. # City / Ciudad / Ville
Telephone / Telefono / Telephone
2. How would you prefer for us to contact you? / i,C6mo preferiria que nos
pongamos en contacto con usted? / Comment preibreriez-vous que ROBS
VOUS contactions?
1 [] By US mail / Pot correo / Par courrier postal am_ricain
2 [] By e-mail / Per correo electr6nico / Par e-mail
3 [] By phone / Per te]6fono / Par t61_phone
4 [] No pletelence / Ninguna preferencia / Aucune pr_f_lence
5 [] Please don't contact me unless it is in legards to a technical matter related to my grill /
Por favor no se pongan en contacto conmigo a menos que sea sob_e un tema t6cnico
reladonado con el asador / Me_ci de ne me contacter que si votre appel concerne un
probl_me technique concemant mort grill
6 [] I plefer to receive information in Spanish / Plefiero lecibir informaci6n en espanol / Je
pr_f_re recevoir des informations en espagnol
3. When did you buy your grill? / i,Cu_tndo compr6 usted el asador? / Quand
avez-vous achete votre grill?
Month / Mes / Mois Day / Dia / Jour Year/ Aflo / Annie
4. Without tax, how much did you pay for your grill? //.Sin impuesto, cuanto
pag6 por el asador? / Hors taxes, combien avez-vous paye votre grill?
$ .00
5. Where did you buy your grill? / i,Dbnde compro el asador? / Oil avez-vous
achete votre grill?
6. Which model did you purchase? / i,Que modelo comprb? / Quel modele
avez-vous achete?
1 [] Summit _ S-420 TM
2 [] Summit _ S-450 TM
3 [] S{;mmit _ S-470 TM
4 [] Built4n Summit _S-440 TM
Emp_rado Summit _ S_44_"
Integ_ Summit _ S_440 TM
5 [] Summit _ S-620 TM
6 [] Summit _ S-650 TM
Z [] Summit _ S-670 TM
8 [] Bt;i]t-ln Summit _ S-640 TM
Emp_rado Summit _ S-64_"
Integ_ Summit _ S-640 TM
7. Have you ever owned a Weber' grill before? / /,Ha tenido alguna vez antes
un asador Weber'? / Avez-vous deja possede un grill Weber auparavant ?
I [] Yes Number of Webe¢ gas grills owned:
S{ Ndmero de asadores de gas Webe¢ que ha tenido:
Oui Nombre de grills A gaz Weber poss6d_s:
Number of Webe¢ charcoal grills owned:
Ndmero de asadoles de carb6n Webef que ha tenido:
Nombre de grills _ charbon Weber _ poss_d_s :
2 [] No, this is my first Webel' grill / No, _ste es mi primer asador Webel' / Non, il s'agit de
men plem_er grill Weber _
• PLEASECONTINUEONBACK/PORFAVORCONT_NL}EENELRET,_ERSO/VEU_LLEZCONTINUERAUVERSO • ]1_