After Sales Questionnaire - Marshall Machinery, Inc.

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Middletown, NY

(845) 343-6683

Honesdale, PA

(570) 729-7117

Tannersville, PA

(570) 895-4884

Belvidere, NJ

(908) 475-8111

Clarks Summit, PA

(570) 489-3642

Binghamton, NY

(607) 729-6161

Millstone, NJ

(732) 446-7600

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Meet Your Dedicated Fleet Manager

Roy Landsiedel
Telematics Coordinator
(570) 300-5202

telematics@marshall-machinery.com

After Sales Questionnaire

Click Here for More Info on Kubota Telematics

BUYERS INFORMATION

MACHINE INFORMATION

SALES CONTACT

SERVICE CONTACT

BILLING/ADMINISTRATIVE CONTACT

Buyer Name * required

First

Last

Sales Name

First

Last

Service Contact Name

First

Last

Billing/Administrative Contact Name

First

Last

Business Name

If Purchased Under Business Entity- Please Enter Business Name

Zip Code * required

Make

Model

Machine Serial Number

Phone * required

Sales Contact Phone Number

Service Contact Phone Number

Billing/Administrative Contact Phone Number

Email * required

Sales Contact Email

Service Contact Email

Billing/Administrative Contact Email

Location * required

Unit Equipped with Telematics? * required

Yes

No

Preferred Contact Method

Phone Call

Text Message

Mail

Email

I Would Like To Be Contacted Periodically Regarding Sales Promotions/Special Offers/Company News, etc. (By Selecting "Yes" I Allow Marshall Machinery, Inc. To Contact Me Via Email Or Mail)

Yes

No

Same As Sales Contact? (If Yes, Select "Yes"- No Need To Fill Out Information Again)

Yes

No

I Would Like To Be Contacted About Machine Alerts & Preventative Maintenance (By Selecting "Yes" I Allow Marshall Machinery, Inc. To Contact Me Via Phone Call, Text, Email, Or Mail)

Yes

No

Preferred Contact Method

Phone Call

Text Message

Mail

Email

Same As Sales Contact? (If Yes, Select "Yes"- No Need To Fill Out Information Again)

Yes

No

Preferred Contact Method

Phone Call

Text Message

Mail

Email

Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country

Service Contact Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country

Billing/Administrative Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country