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Survey
Required Required Question(s)
Required 1.
Please enter the information indicated below.
First Name:
Last Name:
Company Name:
Email Address:
emailaddress@xyz.com

Required 2.
Do you wish to qualify for the additional 5% rebate
Yes
No thanks, simply bypass the survey and click on the finish button below.
Rebates Thank you for your interest in Actiblend System products! Please find the brief survey below to help us serve you better. When you have completed the survey and registered, you will qualify for the additional 5% rebate on all reorders during the promotion period. It will mean HUNDREDS of dollars in savings to you. It is really simple to earn rebates, just take the survey and reorder within the promotion period! Here is how it works: By filling out the form on the previous page, you have already signed on to qualify. We will confirm your status as a qualifying distributor by email, and will track your ordering for you. First, just fill out the brief, nine-question survey at the link below. Then, simply place an initial order for 1,000 pounds of Actiblend Superconcentrates (Drum in an UPS Box, Actibulk) during the promotion period from August 1, 2008 to October 31, 2008. For each 1,000 pound reorder for immediate shipment (any combination of Drum in an UPS Box or Actibulk formulas within Actiblend products offering) entered between August 1, 2008 and October 31, 2008, receive a 5% rebate on those products in the form of credits against purchases.
 
3.
Please select the word or phrase below which best describes your core business:
Jan San
Packaging
Paper
Safety
Industrial
4.
What are your company's annual sales?
Less than $1 million
$1-5 million
$5-10 million
$10-20 million
Over $20 million
5.
What is your company's overall gross margin percentage?
Less than 10%
10-20%
20-30%
30-40%
Over 40%
6.
What percentage of your overall business is in industrial accounts?
Less than 5%
5-10%
10-15%
15-20%
Over 20%
7.
What percentage of your industrial business is in Degreaser sales?
Less than 5%
5-15%
15-25%
25-50%
Over 50%
8.
What is the size of your outside Sales staff?
1-3
4-8
9-15
16-25
Over 25
9.
How many, if any specialize in selling to industrial accounts?
None
1-3
4-8
9-15
Over 15
10.
What is the size of your service area?
50 miles or less
51-100 miles
101-150 miles
151-200 miles
Over 200 miles
11.
Are you willing to create an "Industrial Specialist" position, with help?
Yes
No
Maybe, lets discuss it
Note: This is not an open offer for sale. Actiblend and Nuance Solutions reserve the right to qualify prospects as genuine stocking distributors for purposes of this promotion. All sales subject to acceptable credit application. Reorders for dated releases beyond 10 working days will not be accepted.