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Date of purchase
Customer Contact Information
(required fields are marked with
Type of facility?
1. Physician's office - Specialty?
2. Clinic/Surgery Center/Hospital - Department?
4. Other - Please explain?
Did you order this product for:
1. New construction
3. Replacing old light
Are you planning to purchase additional lights?
2. Yes. Within 1 year.
3. Yes. No timeframe.
How did you learn about Sunnex Medical Lighting?
1. Trade Show
2. Web site
4. Word of mouth
5. Distributor recommendation
Did you also look at other competitive lighting products?
2. Yes - Which ones?