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YOUR OPINION MATTERS / VOTRE AVIS COMPTE
Help us make products better than ever! Please fill out the following form in English or in French, and return it to / Aidez-nous à rendre nos
produits encore meilleurs! Merci de bien vouloir remplir ce coupon en français ou en anglais et de nous le retourner à l’adresse suivante :
Name and reference of product purchased / Nom et référence du produit acheté :
Date of purchase / Date de l’achat : ____/_____/_____
Store / Enseigne :
Birth Date of the user / Date de naissance de l’utilisateur de ce produit : ____/_____/_____
What is your overall impression of the product? / Vous trouvez le produit globalement :
Very satisfactory/Très satisfaisant
Satisfactory/Satisfaisant
Please feel free to leave your comments here / Vous pouvez à présent utiliser l’espace suivant pour nous donner vos remarques :
Find all our new products / Retrouvez toute notre actuali: http://www.lexibook.com
First name/Pnom :
Last name/Nom de famille :
Address/Adresse :
Zip code/Code Postal :
Country/Pays :
Phone/phone :
Email :
Average/Moyen
Disappointing/cevant Very disappointing/Ts cevant
LEXIBOOK S.A,
Mon avis compte
2, avenue de Scandinavie,
91953 Courtaboeuf Cedex
FRANCE
City/Ville :
Conformément aux articles 34 et suivants de la loi « Informatique et Libertés » du 6 janvier 1978, vous disposez d'un droit d'accès, de modification,
de rectification et de suppression des données qui vous concernent. Vous pouvez l'exercer sur simple demande à notre adresse. Si vous ne souhaitez
pas que ces données soient utilisées à des fins de prospection commerciale, veuillez cocher ici :
DJ030seriesIM0109.indd 61 16/3/09 10:45:52
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