SENCO Air-Powered Nailers, Staplers, and Fasteners

Warranty / Ownership Registration Certificate
(*Information required)

*First Name:
*Last Name:
Company Name:
*Address:
*City:
*State:
*Zip Code:
*Country:
*Telephone:
*E-mail:
*Date Purchased (MM/DD/YY):
*Price Paid:
*Purchased From:

*1) Product Model / Serial #

Product Model?
Serial Number?

2) For what applications will this product be used?
Framing/Sheathing Roofing Siding Cabinets/Furniture Pallets/Crating	Finish/Trim Outdoor Decks Drywall Craft/Hobby
Other (specify)?
3) How would you describe your business? Choose the one that most closely applies:
Commercial Residential	Manufacturing Rental Do-It-Yourself
3a)
Building Contractor Subcontractor	Remodeler Purchasing Agent
Other (specify)?
4) What prompted this purchase?
New/Additional Business Replacement Needed Promotional Offer (single item) Dealer Financing	Promotional Item (bundle/multiple item purchase) Home Project Price
5) Type of business purchased from?
Lumber/HomeCenter Hardware Store Tool Supply Roofing Supply	Catalog/Mail Order Drywall Supply Internet
Other (specify)?
6) Referring to #5, do you usually buy product here?
Yes No
If No, where are purchases usually made?
7) What brand(s) are you currently using?
SENCO Bostitch Duo-Fast Paslode Prime Source/Grip Rite Hitachi Porter Cable Qwik Drive Grabber	DeWalt Black & Decker Makita Milwaukee Emglo Campbell Hausfield Rolair Thomas Prime Air Ingersol-Rand
Other (specify)?
None (specify)?
8) How did you become aware of this SENCO product?
Magazine Trade Show Newspaper Flyer Radio Store Display	Salesman Recommendation Recommendation of business associate/co-worker Television Rental Internet
Other (specify)?
9) Please list the magazines you read or the websites you visit regularly.
10) Would you like to receive additional information or materials related to new products, promotional offers, etc. available at www.senco.com or from SENCO?
Yes No
Additional Comments