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Does your company purchase any solvents or chemicals?
(see our line card)
 

Please list the names of the products and indicate container size: (Bulk, Drum, 5 Gal. Pail, Other)

Product

Container Size:
Product
Container Size:
Product
Container Size:
Product
Container Size:
Product
Container Size:
What is your normal order size?
   
 
Drums per order:
 
 
5 gallon pails per order
 
 
If ordered in bulk, gallons per order
 
       
Are your current prices delivered prices?
 
Who is your current supplier?
 
To obtain a quote from Gold Shield Distributing please supply the following information:
Company Name:
Street Address:
City:
State:
Zip:
Contact Person:
Telephone:
FAX:
Email Address:
 

Questions/Comments: