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INQUIRY FORM

Name : _________________________________________________
Email : ________________
Address : ________________________________________________________
City and province __________    
Postal Code :   ____________
Product and request Description : ________________________________________________________
________________________________________________________
Company Name : ___________________   
Phone : _________________________   Fax : _______________
Annual Quantity: ____________
Your valuable comments : ________________________________________________________
PLEASE RETURN BY FAX TO: 519-265-2098
Attention: SALES DEPT.