First Name:
Last Name:
Company Name:
Phone:
Fax:
Country:
E-mail address:
Would you like to subscribe to the Midwest Composites mailing list
to recieve e-mail notices of new products and updates?
yes no
Job description?
Sales
Engineering
Management
Research & Development
Purchasing
Other
Please add any additional comments below such as what type of material
you are currently using and what the application is: