On-line Response Form


Personal Details

Electronic Mail Address:
(note: for your feedback to be received, this must be filled in. If you don't have an EMail address, type: 'no@mail')

Your Name :

Your Business Name:

Your Postal Address: (Only mandatory if you do not have an email address)




What application is the system required for:

Coal. Ground Water. Base Metals. Engineering.

Other, please specify:

What will the system be required for:

Exploration. Development.

Other, please specify.

Depth Requirement:

300 metres. 500 metres. 1000 metres. 1500 metres. 2000 metres.

Other, please specify.

Winch Type:

Four Conductor cable. Single Conductor cable.

Portability, where is the system to be used:

Dedicated Vehicle. Portable.

Other, please specify.

Voltage Required:

12 VDC. 115 VAC. 230 VAC.

Other.

Would you like a quote?:

Yes. No.

Is the number of Logging Runs a critical factor:

Yes. No.

Special/Requirements:




Comments:




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