GLUTEX Biosecurity Network

First Name‡  
Last Name‡  
Company Name‡  
Country in which you Reside‡  
Email‡  
Phone‡    (Include Country/Area Code)
Which animals do your products/services cover?  
 Poultry
 Turkey
 Hatcheries
 Aquaculture
 Swine
Do you sell to distributors or direct to farmers?  
 Distributors
 Farmers
 Both
What region / countries do you currently distribute to?  
How long have you been in business?  
 1‑3 Years
 4‑6 Years
 6‑10 Years
 10+ Years
Do you have a veterinarian or microbiologist on staff?  
 Yes
 No
Do you have a veterinary consultant on staff to provide
microbial or veterinary assistance?		  
 Yes
 No
Do you have a disciplined safety / handling program?  
 Yes
 No
Do you carry other disinfectant or sanitizing products?  
 Yes
 No
If yes, which ones?  
Do you carry cleaners that prepare surfaces for
sanitization and disinfection?		  
 Yes
 No
If yes, which ones?  
‡ Required Field

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