Purchase Confirmation -- Winchester Repeating Arms

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Purchase Confirmation

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

First Name*	Last Name*

Address 1*

Address 2

City*

State or Province*

Postal Code*

Phone Number
- -

Email Address
(ex. johndoe@someaddress.com)

Product Code Number*

(Product Code Numbers can be located 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 Winchester products and services via email?
Yes No

16.

What are the outdoor interests of your household?

Fishing: Lake
Fishing: Off-Shore
Fishing: River/Stream
Hunting: Big Game
Hunting: Safari
Hunting: Small Game
Hunting: Turkey
Hunting: Upland Birds
Hunting: Waterfowl
Outdoor: Backpacking
Outdoor: Boating
Outdoor: Camping
Outdoor: Motorcycle/4 Wheeler
Outdoor: Off-Road
Shooting: Archery
Shooting: Sporting Clays
Shooting: Target
Shooting: Trap/Skeet

17.

How often do you participate in outdoor interests?

18.

What magazines do you read regularly?

American Hunter
American Rifleman
Bow & Arrow Hunting
Bowhunter
BowHunting World
Deer & Deer Hunting
Ducks Unlimited
Field & Stream
Fishing & Hunting News
Game & Fish
Gray's Sporting Journal
Gun World
Guns
Guns & Ammo
North American Hunter
North American Whitetail
Outdoor Life
Petersen's Bowhunting
Petersen's Hunting
Shooting Sportsman
Shooting Times
Shotgun Sports
Skeet Shooting Review
Southern Outdoors
Sporting Classics
Sporting Clays Magazine
Sports Afield
Successful Hunter
Trap & Field

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	Fiocchi	Estate	Kent
Winchester	Remington	Federal	Hornady	Default

21.

How many days per year will your new Winchester firearm be used?

22.

How many total firearms do you own?

23.

How many Winchester Firearms do you own?

24.

Your Gender:
Male Female

25.

Marital Status:
Married Single

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

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 Winchester Repeating Arms catalog to be?

34.

What do you use the internet for? (Check all that apply)

Comparing Products
Forums
Locating Parts & Service
Purchase Products
Reading Blogs
Reading Product Reviews
Research Product
Social Networking

35.

How often do you use the internet?

36.

What factors most influenced your purchase? (Check all that apply)

Brand Reputation
Examination / Comparison
Impulse Purchase
Internet
Magazine Articles / Reviews
On Sale / Promotion
Other
Previous Experience with Products
Price
Print Advertisement
Print Catalog
Radio Advertisement
Recommendation by Friend
Recommendation by Relative
Recommendation by Salesperson
Store Display
TV Advertisement

37.

What could we do to improve this product?

38.

Will you purchase Winchester 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.

40.

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