To provide you with a good service, we need to get know you : in order to do so,
please fill in the following form.
We thank you for your collaboration.

1 - Do you currently use any products similar to those of our range ?
Yes No
If yes, for what purpose ?
2 - Are you satisfied with the equipment you currently use ?
Yes No
If no, why ?
3 - What do you first expect of your supplier ?
technique delay price quality of the service provided
other ( give details ) :
4 - How often do you renew your equipment?		Choose 1 year 2 years 5 years 10 years
Other ( give details ) :
5 - Do you currently have a precise project ?
Yes No
If yes, what does it consist in?
Company name :
Your name :
Your job title :
Email* :
Tel :
Fax :
*mandatory field