First
Name:
*
Last
Name:
*
Title:
*
Company
Name:
Address:
*
Mail
stop:
City:
*
State:
*
Zip:
Country:
Phone:
*
Fax:
E-Mail
address:
*
Website
Address:
* Must
be completed.
In
order to better serve you please answer the following
questions.
1.
What type of laboratory refrigeration product are you
considering?
General Purpose
FMS
Hazardous Location
Undercounter Refrigerator
Undercounter Freezer
Undercounter Refrigerator/freezer
Large Capacity
Undercounter Ice Machine
2.
Do you plan to purchase a refrigerator in the next:
30-60 days
90-120 days
Undecided
3.
Type of Business:
Application:
Biotechnology/life science
Clinical diagnostic
Environmental testing
Other (please specify:
4.
Which of the following best describes your role in the
decision to
purchase laboratory refrigerators?
I make the buying decision
I investigate and recommend
The buying decision is made elsewhere
5.
How did you hear about Marvel Scientific refrigerators?
Past Customer
Arcat
American Lab
Laboratory Equipment
Thomas Register
Other (please specify:
6.
What laboratory publications do you read most often?
American Laboratory
American Laboratory/News Edition
Laboratory Equipment
American Bio Lab News
American Clinical Lab News
American Environmental Lab
Other: (please specify)
7.
Is there anyone else in your company who purchases refrigerators?
Name:
Title: