Direct Impact Cleaning
Please fill out the below form to insure you receive information pertaining to your application or interest.
Name Title Company Street Address City/State/Zip code Telephone Fax Email Corporation Website
Please select Product(s) (check all that apply) Would you prefer the literature be emailed or mailed to you? Note: If nothing is specified, literature will be mail. Please email me the below brochures (check all that apply) Mail
DS/DC Washer/Driers DS D Pass Through (double door) DS S Sterilizers HWS Hybrid Autoclave Sterilizers HWS T Tray Washers HWS B Tyvek Bag Washers RAS Restricted Access System SIS Sterile Isolation System TST Total Sterile Transfers General Information
Would you like a Catalog of HUBER Systems on CD-ROM? Yes No
No project, just looking for general information? Yes, Active project
If yes, what country is it for? (please select) UNITED STATES OF AMERICA CANADA AUSTRALIA AUSTRIA BELGIUM BRAZIL CARIBBEAN CHINA DENMARK EGYPT ENGLAND FINLAND FRANCE GERMANY GREECE HONG KONG INDIA INDONESIA IRELAND ISRAEL ITALY JAPAN KENYA KOREA LITHUANIA MALASYIA MEXICO NETHERLANDS NIGERIA NORWAY OTHER PAKISTAN PHILLIPPINES POLAND PORTUGAL PUERTO RICO ROMANIA RUSSIA SCOTLAND SIGAPORE SOUTH AMERICA SPAIN SWEDEN SWITZERLAND TAIWAN THAILAND TURKEY Will machine be purchased in the U.S? Yes No If no, how what is your project timeframe?
Would you like a representative to contact you? Yes No If yes, how shall we contact you? (please select) PHONE FAX EMAIL When shall we contact you? (please select) IMMEDIATELY TWO WEEKS ONE MONTH SIX MONTHS
Stopper Size(s) (Please specify if they are LYO) Please also visit SIZE YOUR MACHINE
How many stoppers would you like to process in a day? (please state stopper size with amounts). How many stoppers would you like to process per batch? (please state stopper size with amounts)
Do you purchase stoppers pre-washed?Yes No If yes, which vendor provides the pre-washed stoppers? (We bet they are processed on our machines) ; )
Do you currently have a Stopper Processor Yes No
Application Notes:
How did you find this website? (please select) ASSOCIATE TRADE MAGAZINE WEB SEARCH HAVE A HUBER
Shall we include you in future "emails" for product announcements, etc.?
Would you like us to email this website to your associate (s)? If so, please provide email addresses below:
Thank you for taking the time to fill out this form! We look forward to working with you!
Ask us about our Multi-Media Presentations and Catalogs on CD-ROM !
Last modified on Thursday, April 05, 2007 Please send questions or feedback about this site to INFO@VictorInternational.com Brought to you by: M.Jacobsen ©2007 HUBER Systems