PCL Enquiry Form
If previous customer please quote your Customer Code no. (as found on previous invoices)
Contact name:
Contact position:
Company name:
Address:
Postcode/ Zip code:
Country:
UK
Ireland
USA
Germany
France
other
Tel No. (include international dial code)
Fax No. (include international dial code)
E-mail:
Webpage address:
Enquiry Details
What type of product would you like to enquire about?
Polymex product:
Rolls:
Sheets:
Other:
Product/ Polymex Code: (Enter as many products/ codes as you desire)
What information is required?
Intended Application:
Download PDF form (
Requires Acrobat Reader)
Click here to print this page