Customer Information
Name:
Address:
City:
State:	Zip:
Contact Information
Name:
Phone:
Fax:
E-mail address:
Inquiry
RFQ Number:
Due date:
	Part#	Description
Special Notes
	Please have a sales engineer call me by (date): Please fax to the number above Please mail to the address above
	Please send CAD files as an attatchment to sales@showersgroup.com

	Corporate Headquarters: 2423 West Industrial Park Drive, Bloomington, IN 47404-2601 812-334-1191, fax 812-334-1194, sgi@showersgroup.com, www.showersgroup.com