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Dealer address Date of purchase
✁
Name: ......................................................................................................
Address: ...................................................................................................
Town: .......................................................................................................
Postal code: .............................................................................................
Was this tool a gift?
Yes
No
Was this tool your first purchase?
Yes
No
Was this tool bought as a replacement?
Yes
No
Dealer address: ........................................................................................
..................................................................................................................
..................................................................................................................
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GL650_UK.PM5 22-11-2000, 12:1519