Customer name:

Postal address:

Country of Residence:

E-mail address:

Model:

Size (select one of the three for your product):
hat 6 6 1/8 6 1/4 6 3/8 6 1/2 6 5/8 6 3/4 6 7/8 7 7 1/8 7 1/4 7 3/8 7 1/2 7 5/8 7 3/4 7 7/8 8 Skull 000 000 1/2 00 00 1/2 0 0 1/2 1 1 1/2 2 2 1/2 3 3 1/2 4 4 1/2 5 5 1/2 6 Body Pro Childs Medium Childs Large Childs X Large Adult Small Adult Medium Adult Large

In order to help us keep abreast of the changing demands of our customers, we would be very grateful if you would complete the brief questionnaire below. This will enable us to keep customers well informed about developments in our section of the equestrian industry and to ensure the products we sell are the products you want to buy. All information will be treated as strictly confidential. Many thanks.

1. Are you:
Male Female

2. Age:
Under 11 11-16 16-21 Over 21

3. Occupation:

4. How often do you go riding?

5. The horse you ride is:
Your own Riding school's Family's Friend's

6. What equestrian magazines do you read?

7. Is this your first Charles Owen product?
Yes No

8. Where did you first hear about our range of products?

9. Did the shop influence your choice?
Not at all Greatly Partly

10. What other brands were you considering buying?

11. Was there any particular reason why you decided on our product?

12. Please make any other comment you feel relevent to your choice:

13. Product purchased at:

14. Purchase date:
Day: Month: Year: 20

15. I would like further information on:
Gloves Body Protectors Boots

We appreciate your time.