Service Application Form
To be considered eligible for purchasing a Meat Imaging Carcass Camera, this form must be submitted and approved prior to purchase.
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Email *
Do you live in the United States, Canada, Mexico or the United Kingdom? *
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:
Company Name *
Name (First/Family) *
Preferred USER ID *
Please provide below the address you would prefer to receive your camera.
Street Address *
City *
State *
Country *
Postal Code/Zip Code *
Cell Phone Number *
Secondary Phone Number
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