Form 935 06/01/04 Rev. 3
This form must be completed and returned to validate warranty

WARRANTY VALIDATION
PRODUCT OWNER SURVEY

Thank you for taking the time to complete this survey. Your feedback as the owner of a J.P. hood is very important to us. The more information we receive the better we can make or improve our products for you.

Please complete the form, print a copy for your records, and mail a copy to the address below.

When your survey is received your warranty will be validated and you will be automatically entered into a drawing for one of the following prizes:

1st place: - DVD player
2nd place - J.P. Jacket
3rd place - Truk-Rodz T-shirt
(Ten 3rd place prizes will be awarded)

The drawing will be held on May 31, 2005

 

Part #
Hood ID #
Dealership the hood was purchased from :
Date
Co. Name
Address
City
State
ZIP
Phone
Contact
Title
e-mail
Rate the following five categories from 1 (unsatisfactory) to 5 (excellent)
1. The overall fit of the hood:   4. Dealer's customer relations:
  1 2 3 4 5
 
  1 2 3 4 5
2. The overall product quality:   5. Your overall purshasing experience:
  1 2 3 4 5
 
  1 2 3 4 5
3. Overall product satisfaction:    
  1 2 3 4 5
   
6. How did you find out about your JP hood?
Dealer Internet Friend Advertisement in
Truck show: Location of show
Other
7. What was the reason for choosing your JP hood? (Check all that apply)
Price Availability Referred by another Product quality
Reputation Have used a JP product in the past
Other
8. Would you recommend a JP hood to others? Yes No
Why?
9. What best describes your business? (check one)
Truck Owner Body Shop Insurance Company Fleet Owner
New truck dealer Used truck dealer
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