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Signature: (required)
Date:
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Title: Company:
Address:
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CI1402
W E S T V I R G I N I A
HAYWARD
DISTRIBUTING CO .
See our listing under OHIO
HAYWARD
DISTRIBUTING CO .
See our listing under OHIO
W Y O M I N G
MIDWEST ENGINE WAREHOUSE
See our display ad
under Midwest Region.
MIDWEST ENGINE WAREHOUSE
See our display ad
under Midwest Region.
1. Do you have the authority to buy, specify or
recommend products and/or services for your
business or organization?
Y q Yes N q No
2. What primary business/service is at this location?
(check ONLY ONE)
A q Outdoor Power Equipment Supply Retailer
G q Hardware/Home Center/Building Supply Retailer
P q Lawn & Garden Supply Retailer
X q Rental Center
I q Other Retailer-including Discount Stores, National
Merchandisers & Department Store Retailers
J q Wholesaler/Distributor
O q Other (please specify)
———————————
3. Please check title (check ONLY ONE)
01 q President/Owner/Partner/CEO/COB
02 q VP/GM/Secretary/Treasurer/CFO/Other
Company Officials
03 q Manager (Service, Store, Branch)
04 q Purchase Agent/Buyer
05 q Merchandising/Advertising/Sales Manager, including
Other Sales & Marketing Titles
09 q Other (please specify)
————————————
4. Do you provide service and repair at this location?
Y q Yes N q No
33
O U T D O O R P O W E R E Q U I P M E N T FEBRUARY 2014
Please fill out this form in its entirety
V I R G I N I A
TidewaTer Power equiPmenT
www.tpeco.com | info@tpeco.com
See our listing under Virginia
CARSWELL Distributing Co.
800-929-1948 • 877-929-1949 • www.carswelldist.com
HAYWARD
DISTRIBUTING
CO
.
See our listing under OHIO
CARSWELL
Distributing Co.
800-929-1948
• 877-929-1949 • www.carswelldist.com
T E X A S
MIDWEST ENGINE WAREHOUSE
See our display ad
under Midwest Region.
S O U T H D A K O T A
S O U T H C A R O L I N A
T E N N E S S E E
TidewaTer Power equiPmenT
www.tpeco.com | info@tpeco.com
See our listing under Virginia
TidewaTer Power equiPmenT
www.tpeco.com | info@tpeco.com
See our listing under Virginia
P E N N S Y L V A N I A
CARSWELL Distributing Co.
800-929-1948 • 877-929-1949 • www.carswelldist.com
CARSWELL-OEI
800-645-2031 • 800-982-2978 • www.carswelloei.com
W A S H I N G T O N
V I R G I N I A
W I S C O N S I N
CARSWELL-OEI
800-645-2031 • 800-982-2978 • www.carswelloei.com
U T A H
TidewaTer Power equiPmenT
www.tpeco.com | info@tpeco.com
See our listing under Virginia
CAN N S-B ILCO
See our listing under Pennsylvania
W E S T V I R G I N I A
CAN N S-B ILCO
See our listing under Pennsylvania
