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1. What is your fi rm’s primary business activity? (check only one) ☐41 Servicing Equipment Dealer ☐42 Retail Equipment Operation ☐43 Rental Equipment Operation ☐44 Service/Repair Only ☐45 Wholesaler/Distributor ☐46 Manufacturer Representative ☐55 Other ___________________


2. Which category best describes your job title? (check only one) ☐A Corporate Management (Includes owner, president, partner, VP, general manager and other management personnel.) ☐B Sales & Marketing (Includes sales and/or market- ing manager; inside, outside, floor sales and related personnel.) ☐C Purchasing (Includes purchasing agent/manager, buyer, supervisor and related personnel.) ☐D Service (Includes parts and/or service manager and related personnel.)


☐E Other ____________________


3. Number of Employees at your location: (Check one only) ☐50 1-5 ☐51 6-10 ☐52 11-15 ☐53 16-20 ☐54 21+


4. Please indicate the markets you serve? (Check all that apply) ☐1 Hobby Farmer/Large Property Owner ☐2 Commercial Lawn Turf & Landscape Contractors ☐3 Light Construction Contractors ☐4 Municipalities/Park Departments ☐5 Tree Care Provider ☐6 Production Farmer ☐9 Other _______________


5. What is your annual sales volume at your location? (Check one only) ☐M Less than $500,000 ☐N $500,000 - $999,999 ☐O $1,000,000 - $2,499,999 ☐P $2.5 million or more


6. Products you carry? (Check all that apply) ☐A Tractors (<40hp) ☐B Tractors (40 - 100hp) ☐C Skid-Steer Loaders ☐D Utility Vehicles ☐E ATVs ☐F Lawn Tractors ☐G Scrapers/Graders ☐H Front-End Loaders ☐I Fencing


☐J Zero-Turn Mowers ☐K Post-Hole Diggers ☐L Seeders/Drills ☐M Fertilizer Spreaders ☐N Manure Spreaders ☐O Rotary Cutters ☐P Finishing Mowers ☐Q Backhoes ☐R Feed


☐S Hay Tools/Balers ☐T Tillers


☐U Wood Handling Equipment ☐V Chain Saws


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Country (If outside U.S.) Telephone


Date (required) Position State/Province Zip/Postal Code Fax E-mail Address (To receive communications and special offers from Rural Lifestyle Dealer) RURAL LIFESTYLE DEALER  WINTER 2013 71 Source Code: HR0413RLDR


Please return this form to: Via Fax: 262-786-5564 or 262-782-1252 Via Mail: PO Box 624 Brookfield, WI 53008


Online: www.rurallife styledealer.com/ff/subscribe


☐W Power Hand Tools ☐X Spraying Equipment ☐Y Snow Removal Equipment ☐Z Generators


☐ZZ Other _______________


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