Product Survey This is a follow-up about the product we sent to you. Please complete this form and send it us. We appreciate your support. This form will start your warranty. Did you receive the product? Yes No If Yes, When did you receive it?* How many times have you used the product? Never 1-5 times 5-10 times More than 10 times Please Rate the following Brush Excellent Very Good Good Fair Poor Workmanship Excellent Very Good Good Fair Poor Weight Excellent Very Good Good Fair Poor Price Excellent Very Good Good Fair Poor Would you recommend this product?* YesMaybeNo What do you like about our product?* What do you dislike about our product?* Full Name* Company Street Address* City, State ZIP* Telephone* Email Address BY FILLING OUT THIS WARRANTY YOU ARE ELECTRONICALLY SIGNING AND ACKNOWLEGING YOUR UNDERSTANDING OF THE PROPER USE OF WATER-FED-POLES AND YOU HOLD SIMPOLE NOT LIABLE FOR ANY ACCIDENT OR MISUSE OF THE SIMPOLE.
This is a follow-up about the product we sent to you. Please complete this form and send it us. We appreciate your support. This form will start your warranty.
Did you receive the product?
Yes No
If Yes, When did you receive it?*
How many times have you used the product?
Never 1-5 times 5-10 times More than 10 times
Brush
Excellent Very Good Good Fair Poor
Workmanship
Weight
Price
Would you recommend this product?*
YesMaybeNo
What do you like about our product?*
What do you dislike about our product?*
Full Name*
Company
Street Address*
City, State ZIP*
Telephone*
Email Address
BY FILLING OUT THIS WARRANTY YOU ARE ELECTRONICALLY SIGNING AND ACKNOWLEGING YOUR UNDERSTANDING OF THE PROPER USE OF WATER-FED-POLES AND YOU HOLD SIMPOLE NOT LIABLE FOR ANY ACCIDENT OR MISUSE OF THE SIMPOLE.
