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4 |
Date of
Purchase:
/
/
(example: January/1/2013)
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5 |
Serial
number:
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6 |
Store name:
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|
7 |
Purchase Price:
$
.00
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|
8 |
Where do you
hunt? |
| |
|
|
9 |
How many days per year do you spend hunting & shooting:
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|
10 |
What are the outdoor interests in your household?
|
|
11 |
This H&R® just purchased will be used for:
(Check all that
apply)
|
|
12 |
How many
other H&R® Firearms do you own?
|
|
13 |
Which do you use the Internet for?
(Check all that apply)
|
|
14 |
Your
gender:
|
|
15 |
Your marital
status:
|
|
16 |
Date of Your
birth:
/
/
month
/ day / year
(example: January/18/1969)
|
|
17 |
Including yourself, what is the
total number of people living in your
household? (Examples: 01,02,03...)
Children (18 and younger):
Adults:
|
|
18 |
Date of birth
(month/year) of children in your household 18 year of age and
younger:
|
|
19 |
For your
primary residence, do you:
|
|
20 |
Education:
|
|
21 |
Which best
describes your family income?
|
|
22
|
|
|
23
|
|
|
24
|
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Thanks
for filling out this questionnaire. Your answers are important
to us.
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