106 Harris Cars
 

1. Default Section

 

1. Please enter BOTH your day and evening phone numbers.

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2. What is your age?


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3. What is your yearly combined household income before taxes?

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4. Please tell me the make, model and year of all the cars in your household. If there are 2 or more vehicles in your house, please indicate the one which you drive the most.

1. PRIMARY:
Make
Model
Year

2. Secondary
Make
Model
Year

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5. When you purchased your primary car was it a…

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6. E. When you bought your car, did you get additional features not included in the base model? (air conditioning, leather seats, etc.)

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7. Have you added aftermarket features to upgrade your vehicle since you bought it? If so, which of the following apply?

8. If you have purchased additional vehicle options or upgrade your vehicle in any of the ways mentioned above, please estimate how much you have spent in total. (Adding options after market is NOT a requirement to qualify).

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9. G. Which of the following are true for you? Select all that apply by deleting answers that do not.

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10. Which of the following statements apply to you? Select all that apply.