Please complete the form below. If necessary, our Customer Service department will contact you for any additional information. If you wish, you may print out this form and fax it to (508)842-4406. Name: Title: Company: Mailing Address: Shipping Address: City: State/Province: Country: Zip: Email: Work Phone: Fax: URL: Comments:       Type of Business Mold Designer Mold Builder Molder Other Are you requesting a catalog? yes   no Due to high shipping costs, Plastixs does not send catalogs to companies out of the United States. Please let us know which products you are interested in and we would be happy to provide a quote. Would you like to have a representative contact you? yes   no Would you like to receive our e-mail Newsletter? yes   no Would you like to receive information on new products and special promotions? yes   no To remove your name from our email list, please send your request to customerservice@plastixs.com Would you like to set-up a direct billing account with us? yes   no HOME | MACHINERY | SUPPLIES & ACCESSORIES | ABOUT | NEWS | RESOURCES | SPECIAL BUYS | INFORMATION REQUEST | SITE MAP © 2003 Plastixs, LLC. All Rights Reserved. Legal Notices