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* required fields
Name of Purchaser*
Address of purchaser*
City*
State*
Please Select:
AL
AK
AZ
AR
CA
CO
CT
DE
D.C.
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip*
Telephone*
Fax*
Date installed*
01
02
03
04
05
06
07
08
09
10
11
12
01
02
03
04
05
06
07
08
09
10
11
12
13
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15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Builder name*
Address of Builder*
Builder City*
Builder State*
Please Select:
AL
AK
AZ
AR
CA
CO
CT
DE
D.C.
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Builder Zip*
Builder Telephone*
1. Number of windows in your home*
2. Please check your age bracket*
Choose One
under 25
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65+
3 .Number of windows installed *
4. Approximate size of your home in square feet *
5. Is your home *
Choose One
A townhouse or condominium
In a new development
Custom built home
6. What type of windows were in your previous home? *
Wood
Vinyl-clad Wood
Aluminum
Aluminum-clad Wood
Vinyl
Steel
Other
7. Please specify your top three reasons for selecting Paradigm windows. (Choose numbers 1-3, ranking your most important reason as #1)
Energy efficiency
N/A
1
2
3
Ease of Maintenance
N/A
1
2
3
Style/Appearance
N/A
1
2
3
Custom fitting Price/Value
N/A
1
2
3
Paradigm reputation
N/A
1
2
3
Warranty protection
N/A
1
2
3
Dealer Recommendation
N/A
1
2
3
Friend's Advice
N/A
1
2
3
Durability
N/A
1
2
3
8. Did your builder discuss any other window systems with you? (If Yes, Please specify here)
9. Type of builder
Choose One
Large company
Smaller company
Single contractor
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