Service Application Form
To be considered eligible for purchasing an Meat Imaging Carcass Camera, this form must be submitted and approved prior to purchase.
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Email *
What country do you reside in? *
If you live in a country that is not an option, we will not be able to accept applications using this form. Please contact us directly at email:
Please Check Google phone type: *
GMAIL account is required for the camera. If you do not have a gmail account already you will need to create one for free.
GMAIL Email Account (REQUIRED) *
Company Name:
First Name *
Last Name *
Preferred USER ID *
Please provide below the address you would prefer to receive your camera.
Street Address *
City *
State *
Postal Code/Zip Code *
Cell Phone Number *
Secondary Phone Number
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