| Please
print this form, or download the PDF and fill in the dimensions required, check the type of plastic, any options needed,
and add any special instructions. Fax this form to: (973) 316-0300
A_______________ B_______________ C_______________ ____ PVC ____ PP _____ PE Other Plastic (Please Specify)_________________ OPTIONS___________________________ • Drain Location (1-1/2" Standard) • Strainers • Standpipes • Traps • Overflows • Mixing Faucets • Gooseneck Laboratory Faucets • Handheld Sprayers Please include contact name and phone number when faxing this form to: (973) 316-0300 Name ______________________________
Phone # _____________________________ |
PLASTINETICS® INC.
Plastics for Industry / Research
439 Main Road, Towaco, NJ 07082 • Toll
Free: 800-627-7473
Phone: (973) 316-6600
• Fax:
(973) 316-0300 • E-mail: sales@plastinetics.com