Spec-Ops® Brand

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1

Mr. Mrs. Ms. Miss

First Name:
Initial:
Last Name:

Address: (Number and Street)
Apt #:

City:
State:
Zip:

Country:
Email Address:

2 Phone Number:

3 Date of Purchase:

month / day / year
(example: 01/18/98)

4 Store Purchased From:

(example: Copeland Sports)

5

Which Spec.-Ops. Brand product did you purchase?*

Product 1

Quantity Color(s)

Product 2

Quantity Color(s)

Product 3

Quantity Color(s)

Product 4

Quantity Color(s)

Product 5

Quantity Color(s)

Product 6

Quantity Color(s)

6
What magazines do you read regularly or subscribe to?

7 How did you first hear of Spec.-Ops. Brand? (Please specify where)

Saw others using it

Saw it in a store

Advertising

Mail order catalog

Magazine article

Web site

Other

8 Please tell us more about why you purchased this product or give us your comments or suggestions.

Thank you for filling out this questionnaire. Your answers are important to us. Please check the box on the left if you would like to be added to our mailing list for new product updates.