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Full Name*

Company*

Job Title*

Email Address*

Phone Number*

Fax Number

Address*

Address 2

City*

State / Province / Region*

Zip Code*

Country*

Machine Information

Machine Type*

Other

Serial Number*

To help us better serve you, please answer the following questions

What is your industry?*

Which cleaning method(s) were you previously using?*

If a competitor's machine was used, which machine?

What surface are you cleaning with your blaster?*

Molds
Surface Preparation
Parts Finishing
Other

If other, please specify

Are you planning to continue using other methods?*

Yes
No

If so, which cleaning methods?

How often do you plan to use your blasting equipment?*

Every day
Once per week
Monthly
Twice per year

Which of the following best describes this purchase?*

Replacement for another Cold Jet system
Replacement for another brand’s system
First time purchase

What is the most important benefit you are looking to get from your dry ice blasting system – or what main factor influenced your decision to purchase a Cold Jet dry ice blasting system?*

If there are any cleaning issues you are not sure your blasting system can handle, please list them here.

Contact Terms

We want you to know how we use your data and how we will communicate with you. Please state that you have read and agreed to our terms and privacy policy before submitting this form.

Contact Terms*

I agree to the terms and privacy policy.*

Contact Permission*

Yes, I want to receive information on Cold Jet products, solutions or services for my business.
No, I don’t want information on Cold Jet products, solutions or services for my business.