Browning Firearm Purchase Confirmation

Please fill in the information below. * Indicate required fields.

1.
First Name*  Last Name*
 
2.
Address 1*
3.
Address 2
4.
City*
5.
State or Province*
6.
Postal Code*
7.
Phone Number
- -
8.
Email Address
(ex. johndoe@someaddress.com)
9.
Product Code Number*

(Product Code Numbers can be located just above the upc bar code on the product carton)  
10.
Serial Number*
11.
Date of Purchase  Year
   
12.
Store name where purchased (including internet dealers)
13. Was your purchase arranged through a Website on the internet?
Yes No
14.
Purchase Price
$ .00
15.

Would you like to receive information about Browning products and services via email?
Yes No
16.
What are the outdoor interests of your household?
17. How often do you participate in outdoor interests?
18.
What magazines do you read regularly?
  Other(list magazines that are not on the list above)
19.
What will be the primary use for the product just purchased?
20.
What brand of ammo do you primarily plan to use with your new firearm?
Winchester Remington Federal CCI/Speer Hornady Eley CorBon
Winchester Remington Federal Fiocchi Estate Kent  
Winchester Remington Federal Hornady Default    
21. How many days per year will your new Browning firearm be used?
22. How many total firearms do you own?
23.
How many Browning Firearms do you own?
24.
Default
25.
Default
26.
Date of Birth
Year
27.
What is the number of people in your household including yourself?
28.
Do you rent or own your primary residence?
Rent Own Default
29. How would you describe your place of residence?

30.
Occupation:
31.
Which group best describes your annual income?
32.
Education:
33.
Did you find the current Browning catalog to be?
34.
What do you use the internet for? (Check all that apply)
35. How often do you use the internet?
36.
What factors most influenced your purchase? (Check all that apply)
37. What could we do to improve this product?
38.
Will you purchase Browning firearms again?
Yes No Default
39.

Yes! I want to receive information from companies whose products and services relate directly to the specific interests, hobbies, and other information indicated above.

  Thanks for taking the time to fill out this questionnaire. Your answers will be used for market research studies and reports to help us better serve your needs.
 
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