Bancroft Questionnaire

About You

Please confirm the following company and contact information:

Company					Phone
Industry sector	Industry Sector... Vending Machines Pumps & Pumping Paper Handling Card Readers Scientific/Instruments Machine tool Manufacturers Automotive Modelling/toys Design Houses Home Automation Other (Please Specify)				FAX
					E-mail
Position					Web address
Title		First Name
Last Name					No. of Employees	No. of Employees... 0-5 5-10 10-25 25-100 100-500 500+
					Approx. Turnover	Approx. Turnover...(GB£) 0-50 000 50 000 - 100 000 100 000 - 300 000 300 000 - 500 000 500 000 - 1 000 000 1 000 000 +
Address
Address (cont..)					Any Other comments
Town
County
Post Code
Country

About us

Please answer the following questions about our service.

Is our stock hold facility important to you, or is a 7-10 day wait acceptable?	Ex-stock important
	7-10 days okay
Would Bancroft's technical advice and application matching service be useful to you?	Yes
	No
Overall, how would you rate our service ?	Please select... Very Good Good Average Bad Very Bad
Have you seen our Adverts in "Industrial Technology?	Please select... Yes No
Do you read any of the following publications? (Use 'Ctrl' to select more than one)	Industrial Technology Eureka OEM Design Engineering DP&A Engineering Any Others
Have you visited our website at www.bancroft.co.uk?	Yes No
Finally, are any of the following products that Bancroft also supply of any interest to you?	Other products... Add-on Service Sub Assembly Cylinder Pressure Test equipment Cylinder rotaters Wiring / Looms
Any other comments

Your Technical Requirements

Please answer the following questions about any future projects that may be relevant. (If your usual requirements are way out of our product range, please indicate how in the "other comments" box.

Power Source	Power supply... A/C D/C	Voltage Available	Voltage... Below 6v 6v 12v 18v 24v above 24v
Torque required	Nm	Speed required	rpm
Do you require a gearbox?	Gearbox?... Yes; in-line Yes; angled No	Expected application volumes (per annum)?	Expected quantities.... 0 - 10 pcs 10 - 100 pcs 100 - 1 000 pcs 1 000 - 5 000 pcs 5 000 - 10 000 pcs 10 000 +
Are any other add-ons required?	No
	Yes (please specify)
Any other comments

If your requirements fall within the categories above, then we have a solution for you! Please contact us to find out more (contact details at the bottom of the page).

 

And Finally...

For every 25 completed and submitted questionaires, Bancroft will award a £25 gift voucher at random for one of the types of stores listed below. Please indicate your preference should you be a winner.

Select Store preference

Select store type Supermarket Off-Licence Department Store Entertainment Store (Audio/Video etc.) Electronics Store Halfords

Thank you

Thank you very much for taking the time to complete the questionaire. We will use the answers you gave to improve the service we give to you and all of our customers.

To complete the process, please click the submit button below.