Activate Your Table Warranty Activate Warranty Name First Last Company(Required) Title/Department Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail(Required) Table Model Streamline, EconoMAX, MAX, BT, VMAX Pro, UroMAXTable Serial #(Required) Was your table received in good condition and free from shipping damage?(Required) Yes No Have you read and do you understand the user manual?(Required) Yes No Do you feel that you can safely operate the table?(Required) Yes No Is the organization comfortable using your new surgical table?(Required) Yes No Does your organization have any questions regarding the use or care of your table?(Required) Yes No Ordering(Required)10987654321Rate ordering process on a scale of 1-10 (10 being the best).Lead Time(Required)10987654321Rate our lead time on a scale of 1-10 (10 being the best).Packaging(Required)10987654321Rate packaging of the table you received on a scale of 1-10 (10 being the best).Shipping(Required)10987654321Rate shipping process on a scale of 1-10 (10 being the best).Comments on ordering and delivery Product Appearance(Required)10987654321Rate product appearance on a scale of 1-10 (10 being the best).Product Fit and Finish(Required)10987654321Rate product fit and finish on a scale of 1-10 (10 being the best).Product Ease of Use(Required)10987654321Rate product ease of use on a scale of 1-10 (10 being the best).Product Functionality(Required)10987654321Rate product functionality on a scale of 1-10 (10 being the best).Product Durability(Required)10987654321Rate product durability on a scale of 1-10 (10 being the best).Comments on the product you received Does the table meet your needs?(Required)10987654321Rate the product's ability to meet your needs on a scale of 1-10 (10 being the best).How likely are you to recommend STI products to a colleague?(Required)10987654321Rate on a scale of 1-10 (10 being the best).Overall, how satisfied are you with your surgical table?(Required)10987654321Rate on a scale of 1-10 (10 being the best).Would you consider purchasing another STI surgical table?(Required)10987654321Does the table meet its' intended use?(Required) Yes No Additional Comments?
