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Tell us about you! Please mark the box that best describes your business and fill out the contact information below.
(The fields indicated with * are required to complete this transaction; other fields are optional.)

*I am currently a distributor of Pilgrim Plastics products.
  ASI # (if applicable)
*I currently sell promotional products and would like to expand my business to include the Pilgrim Plastics line.
  ASI # (if applicable)
*I am interested in the Pilgrim Plastics line for my own use.
  I currently work with the following distributor:
  I am not working with a distributor at this time. Please send me the requested items and have a distributor in my area contact me.
*Company Name:
*Contact:
Phone:
*Address:
Address 2:
*City:
*State / Province:
*Zip:
*Fax:
*Email:
*Type of Business
Please send me the following samples:


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