New Customer Questionaire

Company Name

First Name

Last Name


Phone Number

Fax Number

Email Address

What industry is your company in?

How can Ausmor be helpful to your company?

How often would Ausmor's services be of use to your company?

Additional comments/questions?

Completed questionaire will be emailed to an Ausmor representative.
A representative will be in touch within the next 1-5 days.