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Service (1069 bytes) Technical Support Form

Cool Repair (6845 bytes)

Welcome to the Cool Repair T.S.S (Technical Service Support)

To help speed our response to you, please provide as much information as possible.

I. Person Submitting Application (complete all sections)

Name and Title:
Building/Department/Floor/Room No.:
Facility/Institution:
Address:
City: Province:
Postal Code: Country:
If other:
Phone:
Fax: Email:

II. About Your Equipment (complete all sections)

Type of Product:
Type of Brand:
Model No.: Serial No.:
Type of information required:
If "Other", please specify:

III. Product Application

What type of materials do you use in your equipment?:
How would you classify your facility/institution?:

IV. Future Product Purchases

Do you plan to purchase any of the following products
within the next year?

Product

Immediately

< 6 Months

< 1 Year
Ultra-Low Freezer, -40°C to -95°C
Cryogenic Freezer (liquid nitrogen or mechanically refrigerated)
Lab Freezer, 0°C to -40°C
Lab Refrigerator
CO2 Incubator


Enter your comments or questions here:

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