Thern Logo
 
Customer Information:
* Your Name:
Title:
* Company Name:
* Address:
* City:
* State:
* Zip:
* Country:
* Phone:
Fax:
* Email:
Web Site:
Product Information:
* Model Information:
* Serial Number / Code Information:
* Purchase Date:
Dealer Where Purchased:
Other Information:

* 1. Your Type of Business?

Aerospace
Aviation
Bulk Handling
Construction
Entertainment
HVAC
Manufacturing

 

Marine
Mining
Petro-chemical
Transportation
Energy/Power Generation
Water/Wastewater
Other

* 2. How did you hear about Thern?


Distributor
Representative
Co-worker
Thern Mailing
Trade Show:

 

Trade Magazine:
Directory:
Internet:
Other:

* 3. What influenced your decision to buy? Please select top three factors.

Functionality
Warranty
Delivery
Price/Value

 

Safety
Service & Support
Quality
Other:

* 4. How is the product used?

Lifting What?
Pulling What?

* 5. How satisfied are you with the following items?

 

* 6. Would you recommend Thern products to others?

Yes  No

7. Please tell us what we can do to improve our products or our service?

Thern, Inc. • 5712 Industrial Park Road • PO Box 347 • Winona, MN 55987
507.454.2996 • 1.800.843.7648 • fax: 507.454.5282 • www.thern.com • email: info@thern.com


Copyright © 2007 Thern, Inc. All rights reserved