Information Request

Information Requestwdd2021-06-28T21:41:52+00:00

Please, fill out this form

We will contact you shortly

Name*
First Last
Company*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Fax
Email*
How many retail locations do you have?
Please enter a number from 1 to 999.
What brands do you sell?
Questions/Comments

Order Information

Quantity	Price
1,000	$145.00
3,000	$210.00
5,000	$270.00
10,000	$385.00
11,000 – 49,000	$35.00 per 1,000
50,000 – 99,000 **	$32.50 per 1,000
100,000 and above	Call CIMS for special pricing

Select Form Quantity*
(All pricing includes shipping to 1 location)*
For quantities greater than 100,000, please call for special pricing!
11,000 – 49,000*
Please enter a number from 11000 to 49000.
50,000 – 99,000*
Please enter a number from 50000 to 99000.
Cost ($35.00 per 1,000)
Price: $0.00
Cost ($32.50 per 1,000)
Price: $0.00
Shipping
Price: $0.00
Total
$0.00
Pay By*
Shipping Address
Please print street address, UPS will not deliver to a PO Box.
Attention
Company*
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code