Cogen - Quotation Form

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+32 67 89 25 14

Cogen | Quotation Request

To expedite your request, please send us an electronic copy of the document you would like a quotation for.

This electronic document can be sent:

		As an attachment to an e-mail: info@cogen.com.
		On a CD, sent to : Cogen sa, Rue du Bosquet 8, B-1400 Nivelles, Belgium
		On Cogen's ftp server: please ask Johan Willems for a directory, ID and password.

Please fill out all the fields of this form.

1. Personal Data

	First Name
	Last Name
	Company
	Field of activity of your company
	Country

	You would like to receive your quotation
	by e-mail, at address:
	by telephone, at number:
	If you would like us to phone you, what time suits you best? (Cogen will keep your e-mail address and phone number confidential; they will only be used to answer your request, and will not be communicated to third parties.)

2. Your project

	You have sent your document
	by e-mail
	by ftp
	by mail or courier service, on a CD

	What is the format of the source document?
	Text format or word processing (MS Word,...)
	QuarkXPress
	Interleaf
	FrameMaker
	InDesign
	HTML
	XML
	Other (please specify)

	In which format would you like to receive the target document?
	Text format or word processing
	The format of the source text
	I do not know yet

	In which currency should your quote be?
	GBP EURO USD

3. Can you spare a few seconds more...

We would love to get your opinion on how to further improve our service.

	Where did you hear about www.cogen.com?
	through an advertisement on the Internet
	through a search engine
	through a colleague or a friend
	through an e-mail
	after a phone call with Cogen

	Did you find the information you were looking for
	Yes, easily
	Yes, but the search was fastidious
	No, not really

	If this website offered an online quotation tool ...
	I would use it frequently
	I would use it every now and then
	I would never use it
	I do not know

	Would you like to receive information about new services or the Cogen company?
	yes no

Protection of your personal data
Cogen respects your privacy. Please read our privacy policy.