| Original Purchaser Information |
| First Name: |
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| Last Name: |
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| Phone: |
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| Email Address: |
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| Installation Information |
| Installation Address 1: |
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| Installation Address 2: |
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| Installation City: |
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| Installation State: |
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| Installation Zip: |
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| Installer Information |
| Installer Name: |
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| Installer Address 1: |
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| Installer Address 2: |
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| Installer City: |
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| Installer State: |
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| Installer Zip: |
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| Installer Phone: |
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| Other Installation Information |
| Date of Installation (mm/dd/yy): |
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| Type of application: |
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| Disclaimer |
| I (the deck owner) have read and accepted the PureWood 25 Year Transferable Homeowner Warranty and certify that the installer noted above has installed PureWood Decking on the residence listed as the address of installation and in accordance to the PureWood Installation Instructions. |
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| Installation Information |
| In an effort to improve our service and performance to you, we would appreciate you taking a few moments to answer the following questions. All information will remain strictly confidential. Thank you for your cooperation. |
| How did you learn about PureWood? |
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| If you chose Magazine, please list: |
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| If you chose Tradeshow, please list: |
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| How did you learn about the builder/contractor? |
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| If you chose Magazine, please list: |
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| How satisfied are you with the builder/contractor? |
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| How satisfied are you with the products installed? |
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| Please indicate the products used in this installation (see applicable warranty for complete details). |
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| Approximately how old is your home? |
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| Approximate value of your home: |
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| What was the total cost of the decking job? |
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| Reasons why you chose PureWood Decking? |
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| What was on your home before you built a deck with PureWood? |
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| If you chose Composite Decking, please list brand: |
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| Please select your age group |
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