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Bolt Products is commited to continually improving our products and services. Please take a few minutes to complete this questionnaire, your feedback will help us improve.

Required * Name: Position: Company: Address: * City: * State: - Please choose - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other:   * Zip: Phone: Fax: Email:

Department Key Contact Name Email Quality Engineering Sales Marketing Purchasing

Please check your company's main fastener interest: Standard Fasteners Tinnerman Heyco Wire Management Electronic Hardware Precision Fasteners Value Added Assemblies Plastic Fasteners Fasteners Per Print Other:

Please check your company's market Appliance Automotive Elevator HVAC Lighting Mass Transit Other: Automation & Controls Building Automation Electronics Machine Tool Material Handling Packaging Machinery Food & Beverage Pharmaceutical Power Generation Ship Building System Integrator Water & Wastewater

Is your company's quality management system registered to any external standards? Please check all that apply: ISO-9001 QS-9000 Other:

Please Rate Bolt Products Quality and Services: 1=Poor, 5=Excellent Product 1 2 3 4 5 Product's ease of use Product's reliability Overall product quality Overall product value             Delivery 1 2 3 4 5 Ease of placing an order Length of lead time On-time delivery Accuracy of shipments             Customer Service 1 2 3 4 5 Ease of contacting Timeliness of responses Knowledge of products Politeness of customer service representative             Technical Support 1 2 3 4 5 Availability of technical information Clarity of technical specifications Expertise of staff             Overall 1 2 3 4 5 Overall satisfaction compared to other suppliers

General Questions How Did you find us? -- Please Select One -- Personal Reference Internet search engine Thomas Register Trade Show Which of the following did you find useful? CAD Drawings Online eCommerce Order Online Advanced Search CD ROM Would you recommend Bolt Products? Yes       No Why?

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