In order to continue providing the highest quality product and service we can offer, we need your feedback.

Please complete the following information and press the submit button below. You may answer this survey anonymously, or tell us your name and company for our records. In either event, please complete as much information as possible.

Name
Company name
Company type (Industry)
Address
City
State
Zip Code
E-mail

What type of rubber products do you use?
Cast Compounds Die Cut Extrusions Lathe Cut Molding Sheeting
Stripping

When is your most active buying season?    
1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

What is your annual rubber budget (in dollars)?:    
$1,000 $1,000 to $5,000 $5,000 to $10,000 $10,000 to $25,000 $25,000 to $50,000
$50,000 to $100,000 $100,000 to $250,000 $250,000 to $500,000 Over $500,000

How can we help you manage your inventory?    
Blanket Order Computer Links Forecasting Just In Time Reminder Calls Other

How often would you like a sales representative visit?    
Daily Weekly Monthly Yearly Never

What do you require your supplier(s) quality system to be?    
AS ISO Military STD QS TS Customer Specific Other

Would you prefer a rubber supplier close to your facility?    
Yes No;    State  

How many rubber suppliers do you have?    
1 2 3 4 5 6 to 10 10+

Would you like to track your order status via our web site/internet?    
Yes No

Would you recommend Mechanical Rubber to your business associates?    
Yes No

What is one thing that other suppliers provide that you would like us to provide?

Please indicate additional comments or concerns