Page 3
How satisfied are you with our product?
❍
❍
❍
❍
How satisfied are you with the dealership/distributor sales staff?
❍
❍
❍
❍
Dealer/Distributor Name
City
State
How satisfied are you with the company sales staff?
❍
❍
❍
❍
How satisfied are you with the delivery?
❍
❍
❍
❍
Did you have any contact with a Demco Representative?
YES
NO
If
YES
, how satisfied were you?
❍
❍
❍
❍
I would recommend this product to my family and friends.
YES
NO
Would you purchase again from DEMCO?
YES
NO
Since taking delivery, have you been contacted by the dealer?
YES
NO
Did you have any problems with this DEMCO product?
YES
NO
If
YES
, are you satisfied with the company’s resolution of your problem?
❍
❍
❍
❍
Why did you purchase this product?
Please list the specific source of information prompting this purchase.
After purchasing this product, do you see any needed product improvement?
If yes, what improvement?
What other products would you like to see DEMCO offer?
Comments
Owner’s Name:
Mailing Address:
City:
State:
Zip Code:
Model#:
Serial #:
Purchase Date:
Owner’s Signature:
Please return to DETHMERS MFG. CO. By FAX or tri-folding this form to the backside, it is pre-addressed.
Ag
❍
RV
❍
Rental
❍
Brakes
❍
Marine
❍
Warranty Registration
Dethmers Manufacturing Company
4010 320th Street • Box 189 • Boyden, Iowa 51234
Toll Free 800-54DEMCO (800-543-3626) • FAX 800-845-6420
www.demco-products.com
Very
Satisfied
Satisfied
Very
Dissatisfied
Dissatisfied