Name *
Company *
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone *
E-mail *

How did you hear about Dan Mar Co?

Referral
Postcard
National Meat Association
Southwest Meat Association
Contacted by a Dan Mar representative
Internet
Other

What type of business are you in?

Red Meat Processing - Raw
Red Meat Processing - Ready to Eat
Pork Processing
Poultry Processing
Other

Select the following Areas of interest that might benefit your business.

Anti-microbial intervention (Food Processing)
General sanitation
Anti-microbial equipment sanitation (Food Processing)
Live animal transportation sanitation measures
(Animal Borne Diseases)
Validation studies on anti-microbial intervention
Other

If interested in microbial intervention, how soon do you see your business as being ready to implement a program?

In the near future (within a month or two)
In the next 3-6 months
In the next 6-12 months
Just wanting information at this point