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Questionnaire

It's time to put an end to the frustration and worry that corrosion problems have caused your company. In order for the Zerust^® Team to help you solve your corrosion problem as quickly and as effectively as possible, we ask that you take the following steps:

Complete and submit this Z-CIS^® questionaire
Take as many photos as possible of the corroded product and its packaging and email them to sales@zerust.com
All fields marked with * are mandatory

A Zerust Engineer will contact you within two (2) business days of receipt.

Please submit an answer for all questions. If you don't have an answer for the question, simply state, "No Answer" or "Don't Know". Thank you.

If you need urgent attention, please contact us at 1-763-404-8701 or sales@zerust.com.

Question 1

Description of Part: *

Your reference code for this part(s): *

Estimated number of parts requiring corrosion protection: *

Question 2

What type of metal is the component made of? Check all that apply. *

Ferrous (Iron, Steel and Cast Iron)

Non-Ferrous (Aluminum, Copper, Bronze, Galvanized Steel)

Silver

Other

If OTHER please enter here:

Question 3

How are you currently trying to protect against corrosion? Check all that apply. *

Rust preventive coating

Corrosion inhibiting packaging

Other

If OTHER please enter here:

Question 4

What is the purpose of the corrosion protection? Check all that apply. *

For ocean shipment

For land storage

For long-term storage

For in-process protection

Other

If OTHER please enter here:

Question 5

Which term below best describes your company's supply chain for this component/product? *

OEM

Tier 1

Tier 2

Consolidation/Deconsolidator

Other

If OTHER please enter here:

Question 6

What is the desired corrosion protection duration from the point of packaging to the point of final use? *

10 to 30 days

31 to 120 days

More than 120 days

Question 7

Is there a "no-smoke" requirement for this component at the point of final use? *

Yes

Don't know

Question 8

Is your organization the buyer of our services and products? *

Yes

No, but can strongly influence

Question 9

Do you have the authority to engage and pay for our services and products? If not, please provide the name(s) of the authorizing *

Yes

Name of authorizing person(s)

Question 10

Please provide the names of any other people and/or companies that are affected by this corrosion problem. *

Question 11

Please provide us any other information that you feel will help us solve the corrosion problem more efficiently. *

YOUR CONTACT INFORMATION

Name *

Job Title

Company

Address

Phone

Email *

Fax

Website URL

Are you working with a sales person?

Yes

If yes, who?

©2012 Northern Technologies International Corporation (NTIC). All Rights Reserved. NTIC is the owner of the following trademarks: NTI^®, NIC^®, ZERUST^®, The ZERUST People^®, ActivPak^®, Cor-Tab^®, Plastabs^®, ICT^®, Z-CIS^®, COR-SCI^® and the Color “Yellow”. EXCOR®, VALENO®, ABRIGO® and UNICO® are registered trademarks of EXCOR GmbH, a Joint Venture Partner of NTIC.

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