BELAR FMHD-1
Owner Survey


As an owner of a BELAR FMHD-1 we would appreciate your time to complete the following brief form so that we may better serve your future needs and provide the technical assistance and updates required to keep your
FMHD-1 on the cutting edge of HD monitoring.

Please provide the following information:

Name
Title
Organization
State/Province
Work Phone
Call Letters
E-mail
Would you like a BELAR Representitive to contact you

Please provide the following product information:

FMHD-1
Date in service
Last Three Digits of Serial Number

What do you like best about the FMHD-1 ?


What do you like least about the FMHD-1?


What added features would you like to see on the unit?


Other Comments?



BELAR HD Development Team
Copyright 2012 BELAR Electronics Lab., Inc.
 All rights reserved.
Revised: 01/18/12