Name:
Position:
Company Name:
Address:
Email
Web Site Address
Phone #:
Fax #:
What type of battery testing do you have interest in?
Discharge
Cycling
Impedance
Monitoring
Other
What is your application?
Motive Power
UPS
R&D
Stationary
Telecommunication
What type of system do you have interest in?
Fully Automatic
Manual
How many batteries are in your facility/company?
1-50
50-100
100-200
300+
Largest/Typical Volts and Amphours of Batteries?
Number of Cell/Jars and Rated Current?
Do you currently have a battery maintenance program?
YES
NO
If YES, how are you testing?
Voltage readings
Specific gravity
Load testing
Outside Contractor
How many batteries do you test per day?
1-2
2-3
3+
How many shifts per day?
1
2
3
What is your time frame on purchasing a battery testing system?
Today
1 - 3 Months
3 - 6 Months
1 Year
Would you like a quotation on a system based upon this form?
Would you like a salesman to call you to discuss you application?
Would you like more information about our products mailed to you?
Comments :
Please NOTE: Once you hit the SUBMIT button your quote will be send to us and then you will be redirect back to the BatteryTestInc main webpage. If you do not get contacted by a BatteryTestInc sales technician please try again in 2 weeks. Thank you!
