*(denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

Company Name

Street Address *

Address 2

City *

State *

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Other State if Applicable

Country *

< - - Please Select - - > USA Canada Mexico Australia Puerto Rico Columbia Brazil United Kingdom Other Country

Other Country if Applicable

Zip or Postal Code *

Custom Made *

< - - Please Select - - > VCI Paper-Ferrous VCI Paper-Multi-metal Alumitex Coppertex Silver Saver VCI Poly VCI Poly Bags Covers Silver Guard Poly Foil Bags/Covers Foil Roll Stock Other

Note:
Bags sizes are stated as width x length or width x depth x length
Width = the opening or mouth of a bag.

Note:
For cut sheets dimensions are simply width x length. For rolls enter the width of the roll.

Dimensions in Inches *

Thickness if this is VCI Poly

< - - Please Select - - > 2 Mil 3 Mil 4 Mil 5 Mil 6 Mil 7 Mil 8 Mil

Note: 2 Mil = 0.002 inches

Purchase Quantity *

< - - Please Select - - > Minimum Order Quantity 250 500 1000 2000 3000 4000 5000 10000 15000 20000

Purchase Frequency *

< - - Please Select - - > One time only Weekly Monthly Quarterly Annual

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