MARINE DEALER VISITATION PROGRAM - CGAUX-43
A.
GENERAL-This form is used to record Marine Dealer Visits made
by Marine Dealer visitors. Up to 7 visits may be recorded on this form.
B.
DATE OF VISIT-Enter date of visit in MM/DD/YY format.
C.
DEALERSHIP NAME-Enter dealership name in the two lines provided.
Enter
contact person's name on the third line.
D.
MAILING ADDRESS OF DEALER-Enter the address ofthe dealer visited on the
lines provided.
E.
DECAL ISSUED - YES/NO-Check the appropriate box.
F.
DEALER ACTION - YES/NO-Enter a check mark in each of the three boxes for
each dealer entry.
1. Receiving CG mailings?
2. Desires to receive mailings?
3. Desires follow up visit or literature?
G.
MEMBER NUMBER-Enter the MDV's member number.
H.
SIGNATURE-Signature of the MDV.
I.
DATE-Enter the reporting date in DD/YY format.
Use 5 or 9 digit postal
ZIP code.
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