Please fill in your customer information.

Note: fields marked with an asterisk ' * ' are required.

*Your Name:      
*Company:        
*Phone Number:   
 Fax Number:     
 Street Address: 
 Street Address: 
 City:           
 State:          
 Zip Code:       
*E mail Address: 

Checking all the items that apply to your business will help us chose the best product for you.




1. Do you presently satisfy your survey needs by:
 
o  own equipment

  o  lease/rent equipment
  o  call out service company

2. What type of survey equipment are you currently
     using or are familiar with:
 
o  walk over locations

  o  wireline steering systems
  o  TruTacker®
  o  E.M. steering system
  o  other

3. What are your typical borehole lengths:
 
o  under   1000'

  o  1000' - 2000'
  o  2000' - 3000'
  o  3000' - UP

4. What size of drill rigs are you (currently) using:
 
o  under 50K lbs.

  o  50 - 100K lbs.
  o  100K lbs. and UP.

5. What are your typical drill collar sizes:
 
drill pipe diameter
  o  under 3"
  o  3 - 4"
  o  4 - 5"
  o  5 - 6"
  o  6" and UP
 
drill pipe length
  o  10'
  o  15'
  o  20'
  o  30'

Please provide us with any other information that can help us assist you.




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BOREGYDE, INC.
673 E. Cochran St.
Simi Valley CA, 93065 U.S.A.

Tel.:(805) 583-5300
Tel.:(877) 315-7760 Toll Free
Fax:(805) 520-9722

e-mail:Information
e-mail:Sales
e-mail:Jim Harrison
e-mail:Brent McCoy