FILTRATION MEDIA INQUIRY

 
 

PLEASE FILL OUT FORM BELOW:

YOUR REQUEST WILL BE HANDLED BY ONE OF OUR FILTRATION SPECIALISTS

DON’T HAVE ALL THE INFO WE ASKED FOR? THAT’S OKAY - JUST TELL US WHAT YOU DO KNOW!

CUSTOMER NAME
CONTACT NAME
TYPE OF FILTRATION SYSTEM
CURRENT MEDIA USED
CURRENT SUPPLIER
SUPPLIER PART #
PER ROLL COST
ROLL LENGTH (YARDS)
ROLL WIDTH (INCHES)
TURNOVER RATE PER ROLL (DAYS)
BEST WAY TO CONTACT YOU Phone    Fax    Email
PHONE
FAX
EMAIL
COMMENTS
   
ENTER THE SUM >>>>>>             4+6=  

 
 
 
 

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 Flo-Tec Inc.   |   12887 Fairlane - Livonia, Michigan 48150   |   Phone: (734) 455-7655   |   Fax: (734) 455-2460