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Contact us > Request Info > USA
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Request Information
To be added on to Doyen's mailing list, please provide us with your email address and country in the form below. Alternatively, you may complete the form in full in order for us to best fulfil your request for literature on our machinery.
* indicates a required field. When the form is complete, please press the "Request information" button.
1. Contact Details:
Name
Position / Job Title
Company
Address 1
Address 2
City
State
Zip
Country *
Phone
Fax
E-mail Address*
2. Machine Interest:
Pouching
Thermoforming
Wound Care Dressing
Gloves
Transdermals
3. Type of company:
Medical Device
Pharmaceutical
Food Products
Distributor
Contract Manufacturer / Packager
Other (please specify)
4. Type of Product:
Blades
Drapes / Gowns
Syringes
Catheters / Guide Wires
Gloves
Transdermals
Condoms
Sponges / Towels
Wound Care Dressings / Pads
Diagnostic Devices
Sutures
Other (please specify)
5. Current Packaging:
Method:
Type:
Manual
Pouching
Semi-Automatic
Wrapping
Automatic
Thermoforming
Other (please specify)
6. Current Production Volume:
10,000 to 100,000 units
100,000 to 1M units
1M to 10M units
> 10M units
7. Machine Requirement:
Immediate Need
Purchase in 6 - 12 Months
Future Purchase
8. Machine Acquisition Budget:
< $100K
$500K - $1M
$100K - $250K
> $1M
$250K - $500K
9. Remarks:
10. How did you hear about our web site*?
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