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*First Name:
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*Street Address:
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*Is this your first Case Product?
Email Address:
Phone Number:
Date of Birth: / /
Gender Male Female
Marital Status Married Single
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What is your education level?
How many pocketknives do you own?
How much do you spend on knives per year?
Are you a member of the Case Collector's Club?
Would you like information on the Case Collectors Club?
Item No.
Purchase Price:
From what type of store was this product purchased?
Primary Use of Product?
I am satisfied with: (check all that apply)
Sharpness Overall product quality
Blade function Handle material color
Price

Why did you buy this Case product? (check up to three)
Experience with Case Sales recommendation
Case's reputation Friend recommendation
Quality/Durability Warranty
Collectability Made in the USA
Price Advertising
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