Model Number* (ie. HD30,HDS175,HHD45,etc.) HD 30 HD 45 HD 60 HD 75 HD 100 HD 125 HDS 30 HDS 45 HDS 60 HDS 75 HDS100 HDS125 HHD 30 HHD 45 AMP 57 AMP 90 Date of Purchase Purchased from Company Name* Purchased from Address:

Owner First Owner Last Owner Address Owner City Owner State/Province AL AK AZ AR CA CO CT DE DC 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 AB BC MB NB NL NS NT NU ON PE QC SK YK Owner Zip Owner Phone Owner Email Address*

What type of purchase was this? Replacement of an existing unit Add-on (additional equipment added to home) New construction How did you learn about this product? ContractorAdvertisementInternetBuilderFriendHome ShowOther* If other is selected* Why did you buy the Modine HotDawg heater? Select up to two reasons Contractor Recommendation Ease of Installation Price Safer garage-heating Alternative Unit Sizes Offered Convenience Why did you want to add heat to your garage/work space? Select up to two reasons Comfort when leaving/returning from work Comfort for auto/motorcycle review Comfort/expand use for hobbies Woodworking space Expand entertainment and living space Can we keep you informed of product news and updates?* YesNo

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