First Name

Last Name

Email

Company

Industry Agriculture/Farm Bulk Construction Food and Beverage General Freight Government/Municipal Lease/Rental Refuse Services Specialized Hauling Utility Wholesale/Retail Other

Job Role Owner/Operator CEO CFO Purchasing/Procurement Fleet/Transportation/Equipment Maintenance Finance/Accounting Driver Other

Zip Code

Country United States Canada Other

Are you a current Mack customer? Yes No

What is your role in the purchase process? No Role Recommend Final Decision

When are you looking to make a purchase? Within 30 Days 30 to 90 Days 3 to 6 months 6 months to 1 year 1 - 2 years 2 Years +

What is your expected purchase volume? 1 - 9 10 - 25 26 - 250 251 - 500 501 - 5000 5000+

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