Product Name *

Air Separator

Aluminum Boats & Barges

Cleaning Table

Continuous Brine Freezer

Conveyor

Crab Processing Equipment Including Butchering Table, Cooker, Cooler, Etc.

Shellfish Processing Equipment

Lobster Processing Equipment

High Pressure Wash

Ice Slurry Machine

Other (Please Specify)

Other

How would you rate your opinion of our product(s)? *

Excellent

Good

Satisfactory

Needs Improvement

How would you rate your opinion of our service and support? *

Excellent

Good

Satisfactory

Needs Improvement

How would you rate your opinion of our deliver?*

Excellent

Good

Satisfactory

Needs Improvement

How would you rate your opinion of ordering and billing?*

Excellent

Good

Satisfactory

Needs Improvement

How would you rate your opinion of our employees?*

Excellent

Good

Satisfactory

Needs Improvement

Enter your comments in the space provided:

Please provide the following contact information (optional)

First Name

Last Name

Title

Organization

Street Address

City

State/Province

Zip/Postal Code

Country

Work Phone

Fax

Email

C & W Industrial – Customer Satisfaction Survey