* Email

* Purchase Price: $

* Date of Purchase (MM/DD/YY):

* Model Number: --Choose a Model-- TM1350CAH90 Weekender US & CAH2100 CAPW1300CC (HP1300BF)H2010H1600 (2009)H1610H1700HD1600

* Serial Number: (Numbers Only)

Store Location:


What factors most influenced this purchase? (check up to 3)

Received as a Gift Style/Appearance Brand Reputation Price Recommendation of Friend/Relative Recommendation of Salesperson Previously owned pressure washer

Product Features Technical Application Advertising Ease of Operation Power of Product Size/Weight Portability

What activities do you participate in regularly?

Camping Fishing Hunting/Shooting Boating/Sailing Recreational Vehicle Automotive Work

Automotive Repair Home Improvement CB Radio 4-Wheel Drive Motorcycling

What other brands did you consider before buying this product?

Air Tool Company Campbell Hausfeld Devilbiss Excell Porter Cable Honda

Karcher Coleman Simoniz Powerwasher Black & Decker Ryobi

Husky Sistema Sears/Craftsman None Other

Which of the following best describe this purchase?
(check all that apply)

First Purchase
Replacement: specify brand
Addition to: specify brand

What other outdoor equipment do you own?

Lawn mower Gas Trimmer Chain saw Leaf Blower

Compressor Generator Gas pressure washer Electric pressure

What are the primary cleaning uses for your pressure washer?

Driveways Walkways Siding/Gutters Fences

Auto/Trucks Outdoor lawn tools Decks Playsets

Would you like to receive e-mail remiders or updates?
Yes No

Which best describes you?
18-3435-4550-6465 to ___

Marital Status
Single Married

Which best describes your family income?

Under $15,000 $50,000-$74,999 $15,000-$24,999 $25,000-$34,999

$35,000-$49,999 $75,000-$99,999 $100,000-$149,999 Over $150,000