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<head>
<title>Product Information Request</title>
<meta name="AUTHOR" content="Allen Jones">
<meta name="GENERATOR" content="Microsoft FrontPage 1.1">
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<body bgcolor="#FFFFFF" text="#000000" link="#CC0000" vlink="#330099" alink="#FF3300">
<h1 align=center>Product Information Request Form</h1>
<form action="mailto:pminfo@project-manager.com" method="POST">
<input type=hidden name="send_mail_to" value="pminfo@project-manager.com">
<input type=hidden name="send_mail_subject" value="INFO FORM">
<pre>
Company Name: <input type=text size=20 maxlength=256 name="Company_Name">
Your Name: <input type=text size=20 maxlength=256 name="Your_Name">
Company Street Address: <input type=text size=20 maxlength=256 name="Company_Street_Address">
City: <input type=text size=20 maxlength=256 name="City">
State/Province: <input type=text size=20 maxlength=256 name="State/Providence">
Zip/Postal Code: <input type=text size=20 maxlength=256 name="Zip/Postal_Code">
Country: <input type=text size=20 maxlength=256 name="Country">
Phone Number: <input type=text size=20 maxlength=256 name="Phone_Number">
E-Mail Address: <input type=text size=20 maxlength=256 name="E-Mail_Address">
</pre>
<p>Product Interest<br>
</p>
<p><select name="Product_Interest" size=1>
<option>Airfloat Series "U" platforms</option>
<option>Airfloat Series "U" platforms</option>
<option>Hytrol Model 2514-CRA chain-driven conveyor</option>
<option>Hytrol heavy-duty chain-driven conveyor</option>
<option>Berlet Telemite wireless remote-control system</option>
<option>Econo Lift scissor-lift tables</option>
<option>Econo Lift Presto lifts and tilters</option>
<option>Clarklift Genesis series lift trucks</option>
<option>Pacline Enclosed Track Overhead Conveyor Systems</option>
<option>Buckhorn Bulk Box</option>
<option>Buckhorn bins for small parts</option>
<option>Wajax Hyster narrow-aisle vehicles</option>
<option>Ultratainer reusable containers</option>
<option>CDI Computorq II electronic torque wrench</option>
</select> </p>
<p>Comments:<br>
<textarea name="Comments" rows=4 cols=60>
</textarea> </p>
<p><input type=submit value="Submit Request"> <input type=reset> </p>
</form>
<p align=center> </p>
<div align=center><center>
<table cellspacing=1 width=340>
<tr><td><a href="mhdep2.html"><img src="btslbutt.gif" align=left border=1 hspace=10 vspace=1 width=75 height=39></a></td><td><a href="mhdep2.html">Back to the list of Material
Handling product suppliers.</a></td></tr>
<tr><td width=50%><a href="http://www.project-manager.com"><img src="pmbutt.gif" align=left border=1 hspace=10 vspace=1 width=75 height=39></a></td><td width=50%><a href="http://www.project-manager.com">For non-commercial
information on Material
Handling.</a></td></tr>
<tr><td width=50%><img src="pdbutt.gif" align=left border=1 hspace=10 vspace=1 width=75 height=39></td><td width=50%>For details on other<br>
Product Depots (coming
soon).</td></tr>
<tr><td width=50%><a href="mhprom.html"><img src="dmbutt.gif" align=left border=1 hspace=10 vspace=1 width=74 height=39></a></td><td width=50%><a href="mhprom.html">For details on advertising at
Material Handling Depot.</a></td></tr>
<tr><td width=50%><a href="mhsource.html"><img src="hisbutt.gif" align=left border=1 hspace=10 vspace=1 width=75 height=39></a></td><td width=50%><a href="mhsource.html">Hard-to-source Material
Handling products.</a></td></tr>
</table>
</center></div>
<p align=center><font size=2><em>Thank you for visiting the MH-Depot</em><br>
<strong>© WMB Publishing Inc 1996</strong></font><br>
<font size=2>12 Tanbark Crescent<br>
Toronto, Ontario, Canada M3B 1N6<br>
Phone: (416) 449-0878<br>
Fax: (416) 449-2558</font></p>
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