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  1. Name & Address:    
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  2. Your date of birth:   
  3. *Date of purchase:           
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  5. Manufacturing Code (Mfg. Code):    (on label on the back or bottom of your product)
  6. Where did you purchase this product?  
  7. Which other brands did you seriously consider before buying this Hoover® product? 


     

    

 



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