REACH Customer Questionnaire

Thank you for taking the time to fill in the customer REACH questionnaire. First, please fill in your personal details. At the end, press Submit to send the questionnaire. If you have more than five, please fill in the questionnaire twice.

Name
Company
Email

Enter up to five relevant substances then, for each substance, answer the five questions selecting Yes / No / Don't know.

Substance 1
Substance 2
Substance 3
Substance 4
Substance 5

1. Are the substances you've listed above going to be pre-registered by your company?

	Yes	No	D/K
Substance 1
2
3
4
5

2. Do you have any plans to appoint an 'Only Representative' to deal with importation of the substances listed?

	Yes	No	D/K
Substance 1
2
3
4
5

3. For each substance, do you expect Aura Metals Limited to be pre-registered for importation into the EU?

	Yes	No	D/K
Substance 1
2
3
4
5

4. Is your company prepared to make the downstream use for each product available to Aura Metals Limited?

	Yes	No	D/K
Substance 1
2
3
4
5

5. Were Aura Metals Limited to offer help in fullfilling your REACH obligations, could this be of interest?

	Yes	No	D/K
Substance 1
2
3
4
5

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REACH