Steel Alternative Kit Request Form

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Dura-Bar Steel Alternative Kit Request Form

Thank you for your interest in Dura-Bar Steel Alternative Kit. Please take a few moments to tell us more about your application.

If you have immediate questions, please call us toll-free at 1-800-227-6455.

Bold questions are required.

First Name:

Last Name:

Job Title:

Company Name:

Address:

City:

State/Province:

Zip Code:

Country:

Phone:

Phone Ext.:

Fax:

E-mail:

Company Web Site:

Market Application:

How did you hear about this offer?:

Name of Source:

Name of publication, website, search engine, referral, etc.

What material are you interested in replacing?:

What other materials do you use?:

What size are you currently using?:

Approximately how many pounds per year?:

Is this product...?:

turned

drilled

milled

heat-treated

surface treated (paint;chrome;oxide etc.)

other/don't know

Please check all that apply.

Who is your current metal supplier?:

What is your company currently focused on?:

Material Quality

Cost Reduction

Inventory Reduction

Process Throughput

Please check all that apply.

Please click Submit to process your request for a Steel Alternative Kit. If you would like additional information, please check the appropriate options below.

I would like to speak with a sales engineer.

I would like to receive product updates.

Dura-Bar will send you occasional product updates and our quarterly newsletter.