SEA Customer Data Form

General Information:

Company Name

Customer Number

Customer Location / Address

City

State/Province

Postal Code

Country

Active Machine Equipment Number(s) (if the customer can provide you with active UIC equipment numbers that would help us update our installed base).




Primary Manufacturing Management Contact:

First Name

Last Name

Position/Title

Email

Phone Number

Primary Manufacturing Operations/Engineering Contact:

First Name

Last Name

Position/Title

Email

Phone Number

Primary Parts/Service Purchasing Contact:

First Name

Last Name

Position/Title

Email

Phone Number

Customer Attributes:

Customer Classification

Primary Industry

Primary Universal Product (Please select a general UIC product category, particular to this customer facility)

Secondary Universal Product (Please select a general UIC product category, particular to this customer facility)

Primary Competitor Equipment (What other competitor equipment is currently installed at this facility, relative to the UIC equipment being installed)

Secondary Competitor Equipment (If applicable)

Additional Notes

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