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SAMPLE REQUEST FORM (Kraft paper)

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Are you presently using any interleaving sheets of any kind?

YES or NO

If YES what product are you presently using? Please describe.

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COMPANY INFORMATION Distributor End-User

Company:

Name:

Title:

Address:

City:

Province / State:

Country:

Zip code:

Telephone:

Fax:

E-mail :

URL :

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OTHER INFORMATION

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For more information

34 Carrier, Granby, Quebec J2J 2M5 CANADA
Tel.: 450. 777. 1477 • Fax: 450. 777. 3753

1. 800. 591. 1060

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