CONTACT US:	Email us at: service@azonicproducts.com or call 1-800-367-0486
QUICK QUOTE:	For a quick quote on any Azonic product, please complete the information below:

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Complete the form in full and
submit it to us.

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First Name:
Last Name:
Title:
Company Name:
Address:
Mail stop:
City:
State:	Zip:
Country:
Area code:	Phone number:
Fax:
E-Mail address:
Website Address:

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TENSION CONTROLS
	Model 300 Stepper		Quantity
	Model 3535 Tel-A-Tension®		Quantity
	Model 30-40G Tel-A-Tension®		Quantity
	Model 30-350G Tel-A-Tension®		Quantity
	Model 30-700G Tel-A-Tension®		Quantity
	Model 4C-3000 Tel-A-Tension®		Quantity
	ACU-FLEX™ - 2-1/2" and 3"		Quantity
	ACU-FLEX™ - specify custom size inches		Quantity
		Heavy Duty Kit yes no

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ACCESSORIES
	Rack Mount Setup		Quantity
		Model of Tel-A-Tension®
		Number of Tensioners in Setup

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WISKER DISK
	L=Light: 35 AWG or finer
		Spool Size inches	Quantity
		Spool Size inches	Quantity
	H=Heavy: 35-25 AWG
		Spool Size inches	Quantity
		Spool Size inches	Quantity
	XH=Extra Heavy: over 25 AWG
		Spool Size inches	Quantity
		Spool Size inches	Quantity
	Holder Description
	Quantity
	Holder Description
	Quantity
	Holder Description
	Quantity

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Thank You!

If you have difficulties submitting this form electronically, please print this page and fill in the information. You can fax it to us at 1-402-395-6788.

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