11
Was this tool bought as a replacement?
Yes
No
Dealer address:
........................................................................................
..................................................................................................................
..................................................................................................................
e-mail address:
........................................................................................
..................................................................................................................
Data protection act:
Tick the box if you prefer not to receive further information.
Dealer address
Date of purchase
✁
Name:
......................................................................................................
Address:
...................................................................................................
Town:
.......................................................................................................
Postal code:
.............................................................................................
Was this tool a gift?
Yes
No
Was this tool your first purchase?
Yes
No
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Dustbuster_UK_A5_A6.PM5
01-05-2001, 11:08
11