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Publicidad
Idiomas disponibles
Idiomas disponibles
Name ______________________________________________________________________________________
Address ____________________________________________________________________________________
City ______________________________________ State __________________________________________
Zip Code __________________________________ Telephone (_________ )___________________________
Date Purchased _____________________________ Store __________________________________________
City _______________________________________ State___________________________________________
Was this a gift?
YES
Pump used for:
Waterfall
LAGUNA MINI TABLETOP PUMP
Rolf C. Hagen (U.S.A.) Corp. P.O. Box 9107, Mansfield, Ma. 02048 U.S.A.
Name ____________________________________________________________________________________
Address __________________________________________________________________________________
City __________________________
MALE
FEMALE
Occupation: Professional/Management
Unemployed
Other (please specify) __________________________________________________________
Which factor most influenced your decision to purchase this product? Store display
Retailer recommendation
Other (please specify) ____________________________________________________________________
Pump used for:
LAGUNA MINI TABLETOP PUMP
Rolf C. Hagen (U.K.) Ltd. California Dr. Whitwood Industrial Estate, Castleford, West Yorkshire WF10-5QH
WARRANTY REGISTRATION CARD
Return to validate your guarantee
NO
Fountain
PT-290
WARRANTY REGISTRATION CARD
Return to validate your guarantee
Age group: 16 or less
Recommendation of a friend or relative
Waterfall
Fountain
PT-290
U . S . A .
Age ______
Other/ Specify ________________________________________
U . K .
Clerical
Manual
Other/ Specify ______________________________________
Gender ______
LAGUNA TABLETOP PUMP
PT-294
17-35
36-60
Student
Retired
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Received as a gift
LAGUNA TABLETOP PUMP
PT-294
Over 60
Publicidad
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