Request Literature:
  • Limit one catalog and one brochure for non-customers through the web site - you can call us directly @ 1-800-463-8134 to request additional copies.
  • Price lists are for Adaptall distributors only - please contact your local distributor for pricing if you are not a distributor yourself. If you need assistance finding one you can fill out a form here, or contact our customer service department at the number listed above.
  • Literature is sent out via mail for non-customers - ignore the shipping method fields if this applies to you.

Please fill out the following form...


Your Name:
(first)xxxxxxxxx (last)
Your Email Address:
   
Company Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
 U.S.A
   
General Telephone:
( ) - -
General Fax:
( ) - -
Web site address:
   
Are you currently an Adaptall Distributor?:
Yes No


Please indicate what you would like us to send you:
 Catalogs   QTY
Brochures QTY (Condensed counter handout) 
Price Lists QTY **(Adaptall distributors only)** 

*For larger quantities of literature, please contact us directly via phone

Shipping Preference:
 Method: Other:
Courier: Other:

*USA customers: UPS ONLY!
Charge: Collect #:

*Prepaid shipping is included for active Adaptall distributors

 
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Adaptall Inc. - Request Literature (catalogs, brochures, & price lists)