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Free Gift
We’d Like To Know…

Please take a few minutes to complete our questionnaire and we’ll send you a special gift as a token of our appreciation.


** Bold fields are required **
First Name:
Last Name:
Company:
Phone:
Fax:
E-Mail:
Address:
 
City:
State:
Postal Code:


1) How did you hear about the FabEnCo Self-Closing Safety Gate?
  Trade Journal Ad
  Postcard
  Trade Show
  Colleague

2) What is your current source for safety gates?
  Fabricate your own
  Purchase from FabEnCo
  Other (Please specify)   
  Haven’t utilized safety gates in the past

3) If your company has purchased safety gates from someone other than FabEnCo, please briefly explain why.

4) Are you the person primarily responsible for purchasing safety gates?
  Yes
  No

If “No”, who would be the primary contact?
Name:
Phone:

5) How soon do you intend to place an order for safety gates?
  0 - 3 months
  3 – 6 months
  6 – 12 months

6) What trade shows will you be attending in the next 12 months?

7) Which trade journals do you read on a regular basis?

  Please have a representative call me.
  Please send me a brochure.