How did you learn about the FreeZone Freeze Dry System?
❑ Dealer Sales Rep ❑ Dealer Catalog ❑ Colleague ❑ Advertisement
❑ Labconco Sales Rep ❑ Labconco Literature ❑ Trade Show ❑ Internet/WWW
❑ Other (please specify) ________________________
What factors most influenced your decision to purchase a FreeZone Freeze Dry System?
(Number up to 3, #1 being the most important)
__ Appearance __ Reputation __ Service Program __ Performance Specifications
__ Ease of Operation __ Safety Features __ Price __ Dealer Recommendation
__ Availability __ Colleague Recommendation __ Other (please specify) ______________________
From whom did you purchase your FreeZone Freeze Dry System? ______________________________________________
(DEALER)
Please fold card over, tape edges and mail. No postage is required.
FREEZONE
®
FREEZE DRY SYSTEMS
PRODUCT REGISTRATION CARD
Register Online! Go to
www.labconco.com/productreg.html
NAME ______________________________________ TITLE ____________________________________________________
DEPARTMENT ______________________________ INSTITUTION______________________________________________
ADDRESS ______________________________________________________________________________________________
CITY/STATE/ZIP/COUNTRY ________________________________________________________________________________
TELEPHONE ________________________ EXT ____ FAX__________________ E-MAIL ______________________________
Which of the following comes closest to describing the type of activity in which you are engaged?
❑ Quality Control ❑ Teaching/Instructional ❑ Testing ❑ Other (please specify)
❑ Clinical/Diagnostic ❑ Research & Development ❑ Production _______________________________
Of what type organization is your work a part?
❑ Industrial, Manufacturing, Utility ❑ Government (except Medical)
❑ Educational Institution (except Medical School) ❑ Independent, Foundation, Consulting
❑ Medical, Medical School, Hospital, Public Health ❑ Other (please specify) _______________________________
Which comes closest to describing your scientific discipline?
❑ Biological Science ❑ Inorganic Chemistry ❑ Physical Chemistry
❑ Bio-Chemistry ❑ Analytical Chemistry/R & D ❑ Engineering or Physics
❑ Polymer Chemistry ❑ Analytical Chemistry/Quality Control ❑ Other (please specify)
❑ Organic Chemistry ______________________________
Which FreeZone Freeze Dry System did you purchase*?
1L Benchtop 4.5L Console 6L Benchtop 6L Console 12L Console 18L Console
❑ Model 77400-__ ❑ Model 77510-__ ❑ Model 77520-__ ❑ Model 77530-__ ❑ Model 77540-__ ❑ Model 77550-__
2.5L Cascade Dry Ice Benchtop ❑ Model 77580-__ ❑ Model 77535-__ ❑ Model 77545-__ ❑ Model 77555-__
❑ Model 76700-__ ❑ Model 75227-__ Benchtop Shell Freezer ❑ Model 77585-__ ❑ Model 77590-__ Stoppering Tray Dryer
4.5L Benchtop ❑ Model 79490-__ ❑ Model 79340-__ 12L Cascade ❑ Model 79480-__
❑ Model 77500-__ ❑ Model 79600-__ Bulk Tray Dryer
❑ Model 78060-__
Serial Number* __________________________________ Date of Installation ____________________________________
*Model and Serial numbers are located on the back of the unit.
By registering your product, you will receive these important benefits: • Warranty Confirmation • Product Registration
• Product Protection • Free LabbyWear™ Merchandise
REV 3/02
800-821-5525 or 816-333-8811
Fax 816-363-0130