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Record of Purchase Form
Dear _________,
We would appreciate your returning this record of purchase so that we will be able to assist you with any questions or problems in the use of our product. In our desire to constantly improve our products and service to you, we request that you answer as many questions as possible.
Thank you.
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RECORD OF PURCHASE
Name________________________Date Purchased__________________
Address_____________________________________________________
City_________________State__________________Zip_____________
1.Purchaser _____Man_______Woman________Teenager________Youth
2.Age of users ________
3.Name of store where purchased _____________________________
4.Purchased for ________ Gift _________ Personal Use
5.Price paid $_________
6.Would you recommend this product to others?_______________
7.Comments:_________________________________________________
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