| Contact Information |
| First
Name: |
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| Last
Name: |
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| Company Name: |
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| Title/Position: |
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| Steet Address |
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| City |
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| State |
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| Zipcode |
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Country |
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| Telephone Number: |
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| Fax Number: |
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| E-mail
Address: |
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Product/System
Information |
| Product: |
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| Other
Product: |
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| Product's Model Number: |
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| Product's
Serial Number: |
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| Size |
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| Software
used with product: |
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| Purchased
From |
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| Date
Purchased |
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| Purchase
Price |
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| Primary
Reason For Purchase |
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| How did
You hear about GTCO CalComp? |
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| Operating System |
Windows
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| Did
your product and container arrive in satisfactory physical condition?
|
Yes
No |
| If
not, Please describe: |
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Did
your product arrive complete, including all parts ordered? |
Yes
No |
| If
not, Please describe: |
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| Did
your product install and function satisfactorily without problems? |
Yes
No |
| If
not, Please describe: |
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| Is
the support material satisfactory? (setup instructions, software,
online help)
|
Yes
No |
| If
not, Please describe: |
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| Would
you like to receive product information via e-mail?
|
Yes
No |
| Please indicate your overall
satisfaction level |
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|
Please
list any suggestions for improvement
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