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		Contact Information First Name: Last Name: Title: Company/Government Agency: Address: City: Country: State/Province: Zip/Postal Code: Email: Phone: Please send me email updates on Gradall About Your Gradall Gradall Model: Serial Number: Delivery Date: Gradall Distributor: *Distributor Salesman: Was your order complete? Was machine delivered on date expected? Were attachment options explained? Was a routine service parts package suggested? Were finance options explained? Was warranty explained? Was training provided for: Operation Safety Routine Maintenance Warranty Claims Were you shown the following manuals: Operator Parts Service Do you already own any Gradall excavators? List the models you own: Would you like to acquire another Gradall excavator? 6 Months 1 Year More than a year Distributor performance How has this machine met your expectations? Condition of machine on delivery: Paint Fit of panels and doors Machine functionality Fluid reservoirs full Parts and fittings tight Machine cleanliness Have you visited any Gradall web sites? Main site at www.gradall.com Logo item store at www.gradallstore.com Corporate site at www.gradallindustries.com Used excavator site at www.gradallresale.com Additional comments:

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