Catalog Request
   

Use this form to request our 108 page catalog and price list.  The catalog is $7.00 which includes shipping.  If you are in Canada, the catalog is $9.00. 
For other international orders, please call our sales department at 800-257-3711.
The cost of the catalog is refundable on your first order over $50.00.

If you already have a catalog and would like an updated price list, please check the Price List Only field and do not fill in the credit card information. Note: Fields marked with a * are required.  Incomplete forms will not be processed.

 

Full Name *

 

Company Name

 

Address * up to 80 characters

 

Address

 

City *

 

State or Province*

 
Additional

Postal Zone *

 

 

 

Daytime Phone # *

 

Alternate Phone # 

 

E-mail Address *

 

Price List Only?

   check this if you only want an updated price list - you may then skip the rest of the form.

How many catalogs would you like?

 

Credit Card *

 

Card Number *

 

Card Holder Name *

 

Expiration Date *

  Enter date as MM/YYYY or MM/YY

             

Your credit card information is secure.  Security is provided by VeriSign. For more information, please click on the VeriSign logo.  Also, please know that  we do not sell our mailing list.  Your personal information is kept confidential.