First Name
Last Name
Address
Address 2
City
State
Zip
Phone
Email
Date of Purchase
Model Number
Serial Number
Where did you hear about this product?
Advertisement
Referral/Recommendation
In
Store
Other
Where did you purchase this product?
Retail
Store
Contractor
Online
Directly
through
Combo-Cool
Other
Where did you purchase (if other)?
Who installed this product?
Myself
Contractor
Friend
or
family
Other
What is the main reason you purchased this product?
Get
cooler
air
temperature
To
use
my
evaporative
cooler
longer
Electric
bill
savings
Other
What most influenced your decision to purchase this product?
Advertisement
Specific
product
features
Value
for
the
price
Display/Packaging
Recommended
by
salesman
Brand
Reputation
Warranty/Service
Received
as
gift
Recommended
by
friend
Style/Appearance
Prio
experience
Tv/Magazine
ad
Internet
Other
Please described the additional features you would want to see on this product
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