Note: To respond to requests for information we need your complete name, address and phone number. In addition, in order to better answer your request, fields marked with a must be filled out to submit. Thanks! WE WILL NOT SELL OR GIVE OUT YOUR INFORMATION!

		E-mail address:
		Full Name:
		Company
		Phone number:
		Fax number:
		Street Address:
		City:
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		Zip or Country Code:
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How did you find out about Weather-Bos™?

(You must check at least one.)

Home Show/Trade Show
National Advertising
World Wide Web
Previous Usage
Referral
Other (if checked, you must describe)

Reason for your inquiry.

(You must check at least one.)

Current Job
Job in Planning Stage
General Interest
Other (if checked you must describe)

What is your intended use for Weather-Bos™?

(You must check at least one.)

Wood
Masonry, Tile, Rock, Concrete, Etc.
Metal
Fibreglass
Fabric
Marine
Other (if checked, you must describe)

Please briefly describe your project.

(You must fill out at least one.)

Residential
If checked, please describe.

Commercial

If checked, please describe.

In what time frame do you expect
to need or use our products?

(Please check only one.)

Less than 60 days.
Less than six months.
More than six months.

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