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A
1. How Can We Reach You? /_Cbrno Podernos Ponernos En Contacto Con Usted? /Comment Pouvons-nous Vous Joindre?
First Name /Nornbre /Pr6norn NIJ. / Inicial /Seconde Initiale Last Name /Apeliido /Norn
Address /Direcci6n /Adresse Apt. # /Apt. # /Appt. # City /Ciudad /Ville
State /Estado /Eta? Zip Code /Cbdigo Postal /Code Postal
E-mail Address /Direcci6n De Correo Electrbnico /Adresse E-mail
Telephone /Tel_fono /T_lephone
( ) =
2. How would you prefer for us to contact you? /,;.C6rno preferiria que nos 6.
pongarnos en contacto con usted? /Comment pr_f_reriez-vous clue nous
vous con?actions?
1, [] By US mail /Por correo /Par courrier postal am@icain
2. [] By e-mail /Per correo ebctr6nico /Par e-mail
3. [] By phone/ Per tel6fono /Par t&l&phone
4. [] No preference /Ninguna preferencia /Aucune pr6f@ence
5. [] Please don't contact me urfless it is in regards to a technical matter related to my 7.
grill /Por favor no se pongan en contacto conmigo a menos que sea sobre un
tema t&cnico relacionado con el asador /Merci de ne me contacter que si votre
appel concerne un probl_me technique concernant mon grill
6. [] I prefer to receive information in Spar/ish /Prefiero recibir informaci6n en espaflol
/Je pr6f@re recevoir des informations en espagr/ol
3. When did you buy your grill? /_Cudndo cornprb usted el asador? /Quand
avez-vous achet_ votre grill?
Month /Mes /Mob Day /Dfa /Jour Year /Aflo /Annie
Without tax, how much did you pay for your grill? /&Sin irnpuesto, cudnto
pag6 por el asador? /Hors taxes, cornbien avez-vous pay_ votre grill?
S.oo
Where did you buy your grill? /6D6nde cornprb el asador? /Ok avez-vous
ache?6 votre grill?
Which model did you purchase? /6Qu_ rnodelo cornpr6? Quel rnodble
avez-vous achet_?
1. [] Genesid R E=310 TM 4. [] Genesid R E=320 TM
2. [] Genesis '_ EP-310 TM 5. [] Genesis '_ EP-320 TM
3. [] Genesis '_ S-310 TM 6. [] Genesis '_ S-320 TM
Have you ever owned a Weber _grill before? /_.Ha tenido alguna vez antes
un asador Weber_? /Avez-vous d_j_ poss_d_ un grill Weber auparavant ?
1. [] Yes/Sf/Oui
Number of Weber gas grills owned:
NLimero de asadores de gas Weber '_ que ha tenido:
Nombre de grills £ gaz Webe: poss4d6s :
Number of Weber charcoal grills owned:
NLimero de asadores de carb6n Weber _ que ha tenido:
Nombre de grills _ charbon Weber poss4d&s :
2. [] No, this is my first Weber grill /No, 6ste es mi primer asador Weber '_ /Non, il
s'agit de mon premier grill Webe:
,_, PLEASE CONTINUE ON BACK /POR FAVOR CONTINOE EN EL REVERSO /VEUILLEZ CONTINUER AU VERSO. }" _
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