Ozone Water & Air Treatment Solutions
Need Help? Call us or send an email800.262.0203 | 805.549.9724 | sales@cwtozone.com
Company Name
Main Phone
Website
Tax Resale Number
Address
Address 1
Address 2
City
State
ZIP
Country
Billing Address (If different from above.)
ZIP / Postal Code
Shipping Address (If different from above.)
Your Contact Information
Name
Title
Phone
Email
Questionnaire (All questions must be answered.)
What is the nature of your business?
What is you geographical territory?
What is the potential ozone market size (Dollars)?
Does your company sell through a network of dealers or direct to end-user?
Does your company provide engineering assistance? YesNo
Does your company provide installation? YesNo
Does your company provide service? YesNo
How long has your company been in business?
Key Personnel This information will help CWT to better serve your company.
Owner/Proprietor/Partner/Officer
Purchasing (This person would receive 'order acknowledgements', 'order shipped notifications' and 'shipment tracking numbers'.)
Accounting / AP (This person would receive invoices from us.)
Sales