Client Survey with OfferJH Bang2023-05-11T15:44:57-07:00 Client Survey w/ Warranty Extension Offer Serial Number of the Purchased Product(Required) Purchase Date(Required) MM slash DD slash YYYY Please note that the promotional extended warranty offer is only valid when you fill out the survey form within a month of the purchase. What was the purpose of the purchase?(Required)First-time purchase of this type of equipmentTo scale up existing SH Scientific equipmentTo replace existing SH Scientific equipmentTo scale up existing equipment from another brandTo replace existing equipment from another brandOtherPlease tell us a little about your industry and intended use.We rely on your experiences, needs, and goals to develop more efficient and intuitive equipment. As a token of our appreciation for your candid and constructive feedback, we're providing 6 months of warranty coverage at no charge. (If you'd like to make that 12 months of coverage, please go here to purchase the extra 6 months.)How did you find us?(Required) Referral Event/Conference Google Search Social Media Other Why did you choose SH Scientific?(Required) Referral Social media/forum reviews Price Performance Please select all that apply.Imagine a dream device for your lab/industry. What functions and features would it offer? What would it help you accomplish?Warranty Extension - Extend Your Warranty for a Full Year.NoYesBy filling out this survey, we are adding an additional 6 month of warranty for the equipment you purchased. If you select "Yes", we will extend your warranty for a full year at a discounted rate.Extended WarrantyPurchase Price(Required)Excluding shipping cost. Please confirm your purchase price. Entering a wrong price may void your extended warranty. Warranty Extension to 1 Full Year Price: $0.00 AgreementTotal Price Consent(Required) I agree to the following terms and condition.We maintain a database of all serial numbers and their original purchaser's information. If the requester cannot provide matching proof of purchase, we reserve the right to void the warranty. Warranty purchases are not refundable under any circumstances. Warranties may be voided if, at SH Scientific's sole discretion, the product was used outside its intended manner and setting. This includes but is not limited to: vandalism, incorrect voltage, or use outside standard atmospheric conditions.Signature(Required) Reset signature Signature locked. Reset to sign again Credit CardCard Details Cardholder Name
