survey form

EEC wishes to provide customers with a comprehensive range of services. Please take a few minutes to complete a few questions that may help us serve you better. Your input is greatly appreciated.

REQUEST A NEW QUOTE

Thank You For Your Time

COMPANY

NAME

ADDRESS

CITY & COUNTRY

EMAIL & PHONE

WEB ADDRESS

IF YOU HAVE A QUOTE FROM US.

EEC - Quote Number / Date:

Request quote extension**. Please indicate number of Mont's:

**Once we receive your request for "Quote Extension" EEC will go trough the details and get back to you asap.

In what country / state will this system be installed:

From which EEC operation did you receive the quote i.e., Asia, Europe, USA, other:

Is the project still active?:

Another systems was selected:

Reason why: Another technology / Better price / Terms.

Do you want an EEC representative to contact you at this time?

IF YOU ALREADY HAVE AN EEC SYSTEM IN ORDER OR IN OPERATION.

From what operation did you buy your EEC WWTP from, See EEC locations below and let us know.

Choose one: EEC Middle East - EEC Asia - EEC India - EEC Australia - EEC Europe - EEC North America - EEC Central America - EEC/DAS Brazil - EEC Global Operation - EEC Agent or Representative.

EEC Model - Size - Capacity:

Country / State / City:

Application / Sewage / Industrial:

Years in Operation;

System operates as per specifications / effluent requirements:

Please fill in more information below if required.

Do you want an EEC representative to contact you at this time?

ADDITIONAL INFORMATION

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THANK YOU