| Please, tell us about yourself.
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| *Required |
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| *First Name: |
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| *Last Name: |
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| *Address 1: |
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| Address 2: |
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| *City: |
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| *State: |
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| *Zip/Postal: |
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| Country: |
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| *Home Phone: |
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| Work Phone: |
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| *E-mail: |
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| Would you like to receive occasional e-mail new from Cobalt? Yes
No
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| Where do you boat?
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| How did you find the Cobalt website? |
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| if by magazine: |
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| if other: |
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| How many years have you been an active boater?
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| How many boaters in your family?
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| How many boats have you owned throughtout the past?
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| Are you planning to purchase a new boat in the next six months? Yes
No
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| If so... |
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| Do you currently own any boats? Yes
No
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| If yes: |
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| Are you planning to trade-in a current boat? Yes
No
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| If yes: |
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| What other make and size boat are you considering? |
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| Do you own a home on the water? Yes
No
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| Will you trailer your new boat? Yes
No
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| If yes: |
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| What is your primary vehicle?
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| Where do you boat most of the time? Freshwater
Saltwater
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| What will be the primary use for your new boat??
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| What is your occupation?
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| What is your household income?
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| What marine publications do you read? (check all that apply) |
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other:
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| What features are most important in your boat purchase? (check all that apply) |
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| Have you ever riden in or driven a Cobalt boat? Yes
No
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