Listen Technologies Corporation

Name*

Title

Company

Street

Suite

City

State/Province

Postal Code

Country

Phone*

Fax

Email*

From what company did you purchase Listen?

Date of Purchase* (MM/DD/YYYY)

Product Part Number * Serial Number

In what type of organization will Listen be used?

• House of Worship
• Manufacturing
• Corporation
• Education
• Entertainment & Athletics
• Hospitality & Tourism
• Catalog
• Personal Use
• Other
  

Which type of solution is being used?

• Assistive Listening
• Tour Group
• Language Interpretation
• Soundfield
• Conferencing
• Other
  

How did you hear about Listen? (may select more than 1)

• Dealer / Consultant / Contractor
• Advertisement
• Direct Mail
• Trade Show
• Customer
• Search Engine
• Other
  

What was the deciding factor(s) in your purchase?

• Sound Quality
• Reliability
• Compatibility
• Reputation
• Specified by contractor / consultant / audiologist
• Features
• Charging/Power Options
• Accessories
• Price
• Features
  
• Other
  

Comments