Page 10 - Plastic Process Equipment, Inc

MAILING LIST CUSTOMER INFORMATION

Since PPE sells by direct mail, we need your assistance in making sure our fully
priced molding accessory catalogs get to the right people and the right companies.
Please take a moment to fill out this form, thank you.

NOTE: Customers Assurance: This information is for PPE only and will not be passed on to any plastics magazine!
1. What type of plastic processing is done by your company? University, School
Assembly of plastic parts Decorating/Finishing Plastic Coating, Printing
BLOW MOLDING EXTRUSION Machining, Plastics
Extrusion Blow molding Blown/Cast Film, Bags Packaging, Plastics
Injection Blow molding Coating, Web Recycling, Plastics
Stretch Blow molding Pipe/Conduit/Profile/Tube Pultrusion
Bonding Sheet R&D facility
Calendering Fabrication of plastics Reinforced Composites
Casting Foam molding RIM
Compounding INJECTION MOLDING Rotational molding
Compression molding Laminating Thermoforming
None Mold or die making Vacuum Forming
OTHER PROCESS (Please explain):________________________________________________________
Approximate number of molding machines: ___________________________________________________
2. Do you have our latest molding accessory catalog?____________________________________________
3. Should we add your company name to our mailing list?__________________________________________
4. Do you have other locations doing plastic molding?____________________________________________
(If yes, please give us the addresses below).
5. Please list your complete MAILING information below (we may call you to verify).
COMPANY NAME:__________________________________________________________________________________________________________

STREET: __________________________________________________________________________________________________________________
CITY: __________________________________STATE/ __________________________ COUNTRY: _____________________ ZIP: ____________
PROVINCE
P.O. BOX: ______________CITY: _____________________STATE/ _________________ COUNTRY: _____________________ ZIP: ____________
PROVINCE
TELEPHONE: ___________________________ FAX: ___________________________ EMAIL: ____________________________________________
YOUR NAME: ___________________________________________TITLE: ____________________________________________________________
PRODUCTS OF INTEREST: __________________________________________________________________________________________________

Form Completed By: ________________________
Date: ________________________

PLASTIC PROCESS EQUIPMENT, INC. www.ppe.com
e-mail: sales@ppe.com
E 8303 CORPORATE PARK DRIVE W 6385 MONTESSOURI STREET
A MACEDONIA, OHIO 44056-2300 E LAS VEGAS, NEVADA 89113-1186 Toll Free: USA, Canada & Mexico
S 216-367-7000 • FAX: 216-367-7022 S 702-433-6385 • FAX: 702-433-6388 800-362-0706
T TOLL FREE: 800-321-0562 T TOLL FREE: 800-258-8877 Order Fax: 800-223-8305
10