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                  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?
         Assembly of plastic parts       Decorating/Finishing              Plastic coating
         BLOW MOLDING                    EXTRUSION                         Plastics machining
            Extrusion Blow molding          Blown/Cast Film                Plastics packaging
            Injection Blow molding          Coating, Web                   Plastics Recycling
            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: ____________________________________________________________





















                                                                          Form Completed By: ________________________
                                                                                       Date: ________________________


                  PLASTIC PROCESS EQUIPMENT, INC.                                          www.ppe.com • e-mail: sales@ppe.com
                   PPE    6385 Montessouri Street, Las Vegas, Nevada 89113  PPE  11218 Challenger Avenue, Odessa, Florida 33556
                   W E S T  702-433-6385 • 800-258-8877 • Fax: 702-433-6388  SOUTH  727-834-8888 • 800-282-6783 • Fax: 727-834-8873
                  8303 CORPORATE PARK DRIVE, MACEDONIA (Cleveland), OHIO 44056, USA         Toll Free: USA, Canada & Mexico
            PPE   216-367-7000 • Toll Free: 800-321-0562 • Fax: 216-367-7022 • Order Fax: 800-223-8305  800-362-0706
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