LEPCO Lead Generator
This form registers your information and helps us to connect end users with our dealer network.
Lead Profile
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First Name
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Last Name
Business Name
Position
Business Contact
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Address 1
Address 2
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City
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State
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Zip
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Phone
Email Address
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Promotional Offers:
Do you wish to receive offers or product updates via email?
No Thanks!
Marketing Information
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Which brand are you interested in receiving more information about?
BearCat
Billy Goat
ECHO
Exmark
Shindaiwa
Columbia/TroyBilt
Brown
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Would you be interested in a demonstration?
Yes
No
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How did you first learn about this product?
Word of Mouth
Internet
Trade Show
Store Advertisement/Display
Magazine Article
Print Advertisement
Other
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What brand of wheeled mowing equipment do you currently use?
Exmark
Toro
Scag
Hustler
Ferris
Kubota
John Deere
Walker
Other
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What brand of handheld power equipment do you currently use?
Echo
Stihl
Shindaiwa
Redmax
Husqvarna
Other
About You (optional)
Your gender
Male
Female
Your marital Status
Married
Single
Year of Birth
Including yourself, what is the total number of people living in your household?
For your primary residence, do you:
Own
Rent
Which best describes your family income?
less than $25,000
$25,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
over $100,000
I'd rather not say
Notes/Comments
*
Indicates Response Required