We offer the opportunity to be selected to test new products by registering your MIJNVORM® product.

When you register your product the information you provide will only be used for internal purposes. This information will not be conveyed to others.

We will not send you advertisements or newsletters.

Our purpose is to gather more information about the users of our products which we can share with other users and so inform you on (product) development and maintenance of your product.

This helps us to be familiar with all your details. In case you might have a question we can serve you fast and accurate.

Serial number
Purchased at
Date of purchase
Name
Last name
Company
Year of birth
Gender	menwomen
Address
Postal code
Place
Country
Email
I have bought my MIJNVORM® product as	company private induvidual
In which profession do you use the MIJNVORM® product?	veterinary health care beauty (personal care) tattoo artist industry other...
In which environment are you using the MIJNVORM® product?	office environment veterinary environment studio (tattoo, beauty, etc.) health care sterile room industry clean- ESD room other...
What is the primary reason for choosing a MIJNVORM® product? (more than one answer possible)	design price quality working comfort OEM (custom made) revalidation good for my body (your posture) other...