Limited Warranty Registration

Thank you for choosing SP Bel-Art® and H-B Instrument® equipment. Please complete the form below.

Question Title

* 1. Contact Information

Name: *

Company: *

Address 1: *

Address 2:

City/Town: *

State/Province:

ZIP/Postal Code: *

Country: *

Email Address: *

Phone Number: *

Question Title

* 2. Product Name

Question Title

* 3. Catalog Number (SP Bel-Art or Distributor)

Question Title

* 4. Serial Number (if applicable)

Question Title

* 5. Purchased From

Question Title

* 6. Date Purchased

Question Title

* 7. What is your company's primary business?

Automotive

Chemical, Petrochemical, Fuels

Cosmetics

Defense, Aerospace

Education - Primary, Secondary

Environmental Testing

Food & Beverage

Forensics, Crime Lab

Glass, Ceramic, Stone

Government

Hospital, Clinic

Jewelry, Precious Metal

Machinery, Electronics, Appliances

Medical Devices, Diagnostics

Metals, Mining

Pharmaceutical, Biotechnology

Plastics, Rubber

Retail

Transport, Logistics

University, College

Other (please specify)

Question Title

* 8. What is your department's function?

Corporate Management

Education

Logistics

Maintenance & Service

Packaging & Filling

Process Development & Scale Up

Production

Project Management

Purchasing

QC, Inspection and Testing

Research & Development

Sales & Marketing

Other (please specify)

Question Title

* 9. What is your occupation?

Biologist

CEO, CFO, Senior Management

Chemist

Consultant

Director or Manager

Doctor

Engineer

Inventory Control

Nurse

Professor or Teacher

Project Manager

Purchasing

Sales

Student

Technician

Other (please specify)

Question Title

* 10. Please read the following statements and indicate if you agree or disagree with the statement.
If the statement does not apply, simply check the NA box.
For any statement you disagree with, we welcome suggestions for improvement

	Agree	Disagree	N/A
Packaging was sufficient to protect the product during shipping	Packaging was sufficient to protect the product during shipping Agree	Packaging was sufficient to protect the product during shipping Disagree	Packaging was sufficient to protect the product during shipping N/A
Product instructions were clear and complete	Product instructions were clear and complete Agree	Product instructions were clear and complete Disagree	Product instructions were clear and complete N/A
Product is and works as expected based on information provided prior to purchase	Product is and works as expected based on information provided prior to purchase Agree	Product is and works as expected based on information provided prior to purchase Disagree	Product is and works as expected based on information provided prior to purchase N/A
Product is of good quality	Product is of good quality Agree	Product is of good quality Disagree	Product is of good quality N/A
Brand was important in the decision to purchase this product type	Brand was important in the decision to purchase this product type Agree	Brand was important in the decision to purchase this product type Disagree	Brand was important in the decision to purchase this product type N/A
Customer service is easily accessible	Customer service is easily accessible Agree	Customer service is easily accessible Disagree	Customer service is easily accessible N/A

Comments

Question Title

* 11. On a scale of 1 - 10 (10 being the best), how likely is it that you would recommend us to a friend or colleague?

While you're here... Will you review this product for belart.com?

Question Title

* 12. Title of Review

Question Title

* 13. How would you rate this product (5 stars being the best)

Question Title

* 14. Enter your review

Thank you for participating in our product reviews. By checking one of the options below, you are giving Bel-Art - SP Scienceware permission to reproduce these comments on our website, belart.com

Question Title

* 15. How would you like to post your review?

First name, last initial (i.e. Shirley M.)

Full name (i.e. Shirley Miller)

Anonymous

Question Title

* 16. Are you interested in receiving email news and offers from SP Bel-Art? Your information will never be sold or shared and you may opt out at any time.

Yes

Question Title

* 1. Contact Information

Question Title

* 2. Product Name

Question Title

* 3. Catalog Number (SP Bel-Art or Distributor)

Question Title

* 4. Serial Number (if applicable)

Question Title

* 5. Purchased From

Question Title

* 6. Date Purchased

Question Title

* 7. What is your company's primary business?

Question Title

* 8. What is your department's function?

Question Title

* 9. What is your occupation?

Question Title

* 10. Please read the following statements and indicate if you agree or disagree with the statement. If the statement does not apply, simply check the NA box. For any statement you disagree with, we welcome suggestions for improvement

Question Title

* 11. On a scale of 1 - 10 (10 being the best), how likely is it that you would recommend us to a friend or colleague?

Question Title

* 12. Title of Review

Question Title

* 13. How would you rate this product (5 stars being the best)

Question Title

* 14. Enter your review

Question Title

* 15. How would you like to post your review?

Question Title

* 16. Are you interested in receiving email news and offers from SP Bel-Art? Your information will never be sold or shared and you may opt out at any time.

Question Title

* 17. Your comments are welcomed!

* 10. Please read the following statements and indicate if you agree or disagree with the statement.
If the statement does not apply, simply check the NA box.
For any statement you disagree with, we welcome suggestions for improvement