After Sales Questionnaire

BUYERS INFORMATION

Buyer Name

Business Name

If Purchased Under Business Entity- Please Enter Business Name

Phone

Zip Code

Email

Location

MACHINE INFORMATION

Make

Model

Machine Serial Number

Unit Equipped with Telematics?

Yes

No

SALES CONTACT

Sales Name

Sales Contact Phone Number

Sales Contact Email

Address

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

SERVICE CONTACT

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

Yes

No

Service Contact Name

Service Contact Phone Number

Service Contact Email

Service Contact Address

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

BILLING/ADMINISTRATIVE CONTACT

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

Yes

No

Billing/Administrative Contact Name

Billing/Administrative Contact Phone Number

Billing/Administrative Contact Email

Billing/Administrative Address

Preferred Contact Method

Phone Call

Text Message

Mail

Email

BUYERS INFORMATION

MACHINE INFORMATION

SALES CONTACT

SERVICE CONTACT

BILLING/ADMINISTRATIVE CONTACT

Middletown, NY

Honesdale, PA

Tannersville, PA

Belvidere, NJ

Clarks Summit, PA

Binghamton, NY

Millstone, NJ

Middletown, NY

Honesdale, PA

Tannersville, PA

Belvidere, NJ

Clarks Summit, PA

Binghamton, NY

Millstone, NJ

BUYERS INFORMATION

MACHINE INFORMATION

SALES CONTACT

SERVICE CONTACT

BILLING/ADMINISTRATIVE CONTACT