Product Warranty Registration
Thank you for choosing Petrolab Company for your laboratory equipment needs. In our continuing effort to better serve you, please fill out the registration information below.
Date:
*
Instrument:
*
Part #:
*
Serial #:
*
Lab Manager
Instrument End-User
Same as Lab Manager
Name:
*
Name:
Title:
*
Title:
Company:
*
Company:
Address:
*
Address:
City:
*
City:
State:
*
State:
Zip:
*
Zip:
Country:
*
Select a Country...
United States
Canada
Mexico
Country:
Select a Country...
United States
Canada
Mexico
Phone:
*
Phone:
Fax:
*
Fax:
E-mail:
*
E-mail:
Industry (please check all that apply)
Petroleum
Asphalt
Lube
Chemical
Flavor
Food
Plastic
Paint/Coating
Environmental
Pharmaceutical
Fragrance
Government
Biodiesel
Other
New Literature Available (please check all the apply)
Terminal
Biodiesel
Distillation
Flashpoint
Petrotest Brochure
Grabner Brochure
Petrolab Line Card
Which instruments do you have at your facility?
Grabner
Petrotest
Lovibond
Other
1. Were you involved in the decision to buy this instrument?
Yes
No
If yes, was your sales and purchasing experience pleasant?
Yes
No
If not, who made the decision to purchase this unit?
2. Have you checked out our web site?
http://www.petrolab.com
Yes
No
Were you able to find the information you needed?
Yes
No
What additional information would you like us to add?
3. Do you have any additional equipment or instrument needs?
Yes
No
If yes, please specify:
*Required Field