First name * :
Surname * :
Adress * :
Postal Code * :
Corporate name (If the adress aboved-mentioned is your company one) :
Professional activity :
Town / City * :
Numbers of employees :
Company :
Phone number * :
Occupation :
Fax :
Email * :
Country * :
Are you : Individual Company
ProtectGuard
ProtectGuard FT « Heavy Duty »
ProtectGuard matt « Wet Look »
ProtectGuard satin/gloss « Wet Look »
ProtectGuard Color
ProtectGuard Special Fresh Concrete
FilmoGuard
WoodGuard
WoodGuard Color
Mineralisant Guard (Mineralizing)
Etanch’Guard (waterproofing)
Gliss’Guard (antislip)
Antimousses’Guard (moss killer)
GraffiGuard 2010
GraffiGuard 2030
GraffiGuard 2040
GraffiGuard 2050
BioDécap’Façades Guard (bio cleaner)
Décap’Façades Guard (powerful cleaner)
Décap’Sols Guard (ground, flooring and paving cleaner)
Décap’Sols Plus Guard Bio (scale, rust and deposits cleaner, cement and plaster residues remover)
Décap’Peintures Guard (paint stripper)
Other
If other, please give details:
Where do you buy the products? :
Have you already met one of our sales representatives? Yes No
If yes, are you satisfied with this meeting ? Yes No
If 'No', Why? :
Annual Consumption:
References with the product:
Buildings :
Public Works :
OEM - in factory :
Streets - roadway :
Personal use :
Others :
Types of surfaces, materials :
Use of the 10 years AXA backed guarantee Yes No
If No, why ?
If 2, 3 ou 4 : why?
Type of application carried out : Spray Trigger Brush Others (give details)
Other :
Purchase of specific tool / material for the application : Yes No.
If Yes, which one:
Satisfaction level:
If 1 or 2, why ?
Use of competition products : Yes No
If Yes, which ones?
Use of complementary products : Yes No
If Yes, which ones and why ?
After Sales Service
Are you informed enough about Guard Industry products and news? Yes No
If No, Why?
Do you want to subscribe the newsletter ? Yes No
I have some works in my house / apartment I have a public work I have some works for some buildings I have some works in a street / in the roadway I have to protect industrially building materials
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