Contact

Dear Customer,

We want to thank you for giving us the opportunity to serve you. Please help us serve you better by taking a couple of minutes to tell us about the service that you are in need.

Sincerely,
MAK INDIA LTD,Coimbatore-14

Customer Enquiry Questionnaire

Please fill the appropriate where relevant.

S.NO	DESCRIPTION
1	Customer Name:(*)
2	Date (mm/dd/yyyy):
3	Customer Address:(*)
	City
	State
	E mail ID:(*)
4	Contact No: (*)
5	Location for bio digester installation:(*)
	Address:
6	No of Bio digester to be installed? (*)
7	For what purpose & need for Bio digester installation?
8	Do toilets needed to be installed?	YesNo
	a). How many toilets needed to be installed?
	b). How many toilets already available in No’s?
9	How many users of toilets?(*)
	Adult (No’s.):
	Children (No’s .):
10	Type of installation
	Homes	Homes
	Public toilets	Public toilets
	School	School
	Education institute	Education
	Other,etc	Other
11	Mention if Biogas bag is needed for storage? Note:Only above 100 users applicable	YesNo
	a).Large scale/Small scale?
	b).How is the biogas produced is used?
12	Any other comments you would like to Share?
Please give your name and a contact department/number if you would like us to follow up your comments.
	Your Name:
	Designation:
	Contact department :
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