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CUSTOMER QUESTIONNAIRE
(Please check the appropriate box)
Completely Very Somewhat
Satisfied Satisfied Satisfied Dissatisfied Comments
Overall Exterior
Overall
Interior
Appearance
Quality of
Workmanship
Quality of
Materials
Seating
Audio
System
Interior
Lighting
Overall Satisfaction
CUSTOMER WARRANTY REGISTRATION
Name____________________________________Date Purchased___/____/______
Address______________________________________Phone ____-____-_______
City_____________________________State_________Zip Code______________
Vehicle Make____________________________Model_______________________
Model Year____________I.D. No.(Must Be Completed)_______________________
Product Application: Pleasure________Business________Other________________
I have read the Warranty and the Arbitration Provisions, which I agree are the exclusive
and binding procedures for resolving any claims relating to my conversion vehicle,
under the warranty or otherwise.
Signature___________________________________________________________
Dealer Purchased From: Name___________________________________________
City_______________________________State________Zip Code_____________
Comments:_________________________________________________________
Please print or type and return this card to Explorer Van Company to validate warranty.
I have read the warranty supplied by the Explorer Van Company and agreed to the terms and conditions as stated therein.
Please Note: For Warranty to be valid, the card below must be
filled out completely and mail to Explorer Van Company.