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Customer Information Request Form


If you have any questions about this form, please call us toll free at 800-323-5282 or email davidsoliday@chicagowilcox.com

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Please send the following documents to the e-mail address listed above:

Quotations
First Article Inspection Reports
Materials Certifications

Please indicated a preferred unit of measure for quotations and orders:

Each
Per 100
Per 1000
Foot
Other

Transportation
Do you have a preferred mode of receiving shipments

Please describe



 

Chicago-Wilcox Manufacturing Company, Inc.   All rights reserved.

last updated April, 2011