Customer Order Number*
Date Purchased*
Date Installed*

Purchased By
Address
City State Zip

Purchased From
Address
City State Zip

Installed By
Address
City State Zip

Would you refer Parco Windows to a friend or neighbor? Yes No
Would you refer your installer/dealer to a friend or neighbor? Yes No
If you answered NO to either question, would you like to be contacted? Yes No
If so, what phone number can you be reached?

Comments/Questions