ATTENTION
DISTRIBUTORS:You
can receive samples for your testing or demonstration purposes, or have
them sent directly to your customer. Please ensure testing is done
under actual conditions of usage to assure required performance. IF
WE SHIP TO YOUR CUSTOMER, DATA LABEL WILL NOT BE IDENTIFIED IN ANY MANNER!
Your
Information:
Customer
#:
(Required)
Company Name:
(Required)
Your Name:
Address:
City:
State:
Zip:
(Required)
Phone #:
(Required)
E-mail Address:
Unless
otherwise specified, all samples are shipped via First Class Mail.
If you desire another method of shipping, please provide your account number
for the carrier of your choice; if you are a current customer, we
can bill the charges to your Data Label Account.
Ship
To:
How To Bill
Company
Name:
Ship
Via:
Carrier
Account #:
Attention:
Address:
City:
State:
Zip:
Sample
Items To Send
Please Refer
To our Online Catalog For The Stock Item
Numbers.
