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Customer Service Survey

Please complete the confidential survey below. ( * denotes required fields )

* First Name: * Last Name:
* Company: Title:
* Email Address: Phone Number:
Street Address: City:
State: Postal Code:
President/Owner: Purchase Contact:
# Employees: Do you use subcontractors?


Would you like to be on our mailing list?
Do you utilize our storefront?
If no, would you like more information?


Primary Business Segments Primary Products Used
Access Control %
CCTV %
Fire %
Intrusion Detection %
Life Safety %
Other %
Please rate the following purchasing criteria in order of importance
(4=highest, 1=lowest)
Supplier Relationship
Product Availability
Product Selection
Pricing


Current Suppliers (% of your purchasing business)
ADI %   Anxiter %
Tri-Ed %   Mfg. Direct %
Other %
Name Other(s):
Training Needs


Additional Comments: