International Prospect Survey
Thank you for expressing interest in Middle Atlantic Products. To help us serve you better, please fill out the following questionnaire and hit the SUBMIT button when through.
company:
  
full name:
  
title:
  
(i.e. President, Project manager, etc)
job function:
   (i.e. Specifier, Installer, etc)
street address:
  
city:
  
state/province:
  
zip/country code:
  
country
  
phone:
  
fax
  
e-mail:
  
Please indicate the ONE category that best describes your job function:







What is your purchasing authority?


Are you a Dealer (Selling to End-Users) OR Distributor (Reselling to Dealers) OR End-User of the Products?

In what other Countries are you currently doing business with?


What other US Companies are you currently doing business?


What is your anticipated annual sale (US$) of purchases from Middle Atlantic Products?





How many employees in your company?






Please indicate the ONE category that best describes your firms primary business.














 

International Prospect Survey