AP+ Follow-up Form

Fill out the form below for additional details from Diversey and TASKI – Your AP+ Partner in Floor to Ceiling Hygiene.

Name(Required)

First Last

Facility Name(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Follow Up Requested(Required)

Small TASKI Machines

Large Area TASKI Machines

Carpet Machines

Chemicals/Building Care

Floor Care

MoonBeam3 UV-C Disinfection Information

Training / Procedures

Other

Please check all that apply. We will make sure we follow up!

Follow up Other

Please provide any additional follow-up requested.

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