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750 Shephard Way, Helena, MT 59601
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(888) 735-5607
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(406) 442-5153
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Distributor Survey
Distributor Survey
Questions #7-10 are for McDantim's internal marketing efforts and will not be shared on our website.
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1. Enter Company Info as it will appear on our website (if multiple locations, enter headquarters)
Company
Address
Address 2
City
State
Country
Alaska
Arizona
Arkansas
California
Country
Zip Code / Postal Code
Website
Email
*
2. Do you have more than one location?
Yes - We will contact you for additional addresses
No
3. Do you purchase directly from McDantim?
Yes
Both
No, where do you buy them?
4. Gases Provided (select all that apply)
GP01 - Bulk
GP02 - Cylinders
GP03 - Premix
GP04 - CO2
GP05 - N2
GP06 - Helium
GP07 - Other Gas (AR, H2, O2)
GP08 - Generator/Separator
GP09 - Specialty Gases
5. Services Provided
SP01 - Design
SP02 - Installations - Beer System
SP03 - Installations - Gas System
SP04 - Installations - Wine System
SP05 - Installations - Soda System
SP06 - Line Cleaning
SP07 - Beverage Equipment Repair
SP08 - Leak Detection Equipment
SP09 - Welding Equipment Repair
SP10 - Gas Management
6. Equipment & Supplies Sales
ES01 - Beer Dispensing Equipment
ES02 - Soda Dispensing Equipment
ES03 - Water Dispensing Equipment
ES04 - Wine Dispensing Equipment
ES05 - Non-Carbonated Beverages
ES06 - Gas Management
ES07 - Safety
ES08 - Welding Equipment
ES09 - Food Packaging
ES10 - CO2 Monitoring
7. Sales or Service Area
National
In our state only
Within X miles of our location
8. Professional Associations
PA01 - Association of Independent Welding Distributors (AIWD)
PA02 - American Society for Brewing Chemists (ASBC)
PA03 - American Welding Society (AWS)
PA04 - Brewers Association (BA)
PA05 - Better Business Bureau (BBB)
PA06 - Coffee Groups
PA07 - Gas & Welding Distributors Association (GAWDA)
PA08 - International Beverage Dispensing Equipment Association (IBDEA)
PA09 - Independent Welding Distributors Cooperative (IWDC)
PA10 - Juice Groups
PA11 - Master Brewers Association of the Americas (MBAA)
PA12 - National Beer Wholesalers Associations (NBWA)
PA13 - National Restaurant Association (NRA)
PA14 - Welding Equipment Manufacturing (WEMCO)
Other (be specific)
9. Any employees at your company members of:
PO01 - ISBT
PO02 - Vistage
10. Person Completing Survery
Name
*
Email Address
*
Phone Number
*