Name:
Company:
Street Address:
City, State, Zip:
,
E-Mail:
Web Site:
Phone:
Fax:
Please Contact Me Via:
E-mail
Phone
Personal Visit
Project Involves
(Check all that apply)
New Mold Construction
New Program
Existing Tooling
Value Added Assembly
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Comments/Area of interest:
Submit completed form by :
(1) clicking on the Submit button above or
(2) print out and fax to 909.628.7465 or
(3) print out and mail to: Acorn-Gencon Plastics 13818 Oaks Ave. Chino, CA 91710 USA
If you have a drawing to show please submit it with the fax or mailing.
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