Complete this survey and you will be entered into the drawing for
1 of 3 free licenses of the
LABTrack Personal
software.
2. Your are employed as an:
3. Your Organization is a (check one)
4. Industry (check all that apply)
Name
Organization
Address Line1
Address Line2
City
State / Province
Zip / Postal Code
Country
Telephone
Email
Job Title
5. Your Organization is planning to (check all that apply)
6. Who is responsible for making decisions about implementing an Electronic Lab Notebook in your organization?
Names
Telephone
Email
Complete this survey and you will be entered into the drawing for
1 of 3 free licenses of the
LABTrack Personal
software.
Only one entry per person. The drawing will be held on April 30th, 2008. Winners will be notified by email or telephone. Not valid in states or countries where prohibited.
All sections of this survey must be completed to be a valid entry.
1. Your Contact Information:
Research Institute
Manufacturer
Agriculture
Student
Consultant
Researcher / Scientist
Lab Worker / Technician
Professor / Instructor
University / College
Chemicals
Energy / Power
Food / Beverage
Medical / Clinical / Forensics
Petroleum / Petrochemicals
Polymers / Coatings / Rubber
Contract Laboratory
Biotechnology / Biochem
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Metals / Materials / Minerals
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IT Professional
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Other
United States
Canada
Afghanistan
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American Samoa
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Angola
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Chad
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Finland
France
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Gabon
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Germany
Ghana
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Lao
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>Liechtenstein
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Madagascar
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Mali
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Vanuatu
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Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Evaluate Electronic Lab Notebooks
Implement an Electronic Lab Notebook
immediately
within 6 Months
within 1- 2 years
sometime in the future
Already has an Electronic Lab Notebook
immediately
within 6 Months
within 1- 2 years
sometime in the future
Other
Person completing this survey
Complete this survey and you will be entered into the drawing for
1 of 3 free licenses of the
LABTrack Personal
software.
Other
And/or person/persons listed below
Other
If I win, I give LABTrack LLC permission to publish my name and the name of my organization.
Manager