SALES 800.567.9727 FAX 604.820.5420
	Info Request Thank you for your interest in InterWrap DURATHENE™

Name *
Title *
Company *
Address
City *			State/Prov.
Country		Postal/ZIP
Phone *
Fax
Email *
How did you hear about us? *  Choose One Search Engine Magazine Ad Tradeshow Another Website Distributor Referral Sales Rep
Send me Samples & Product Literature. Put me on the Mailing List for News & Product Developments. Have an InterWrap representative call me.
Comments, Questions

 * Indicates mandatory field

---

InterWrap - 32923 Mission Way, Mission, BC, Canada V2V 6E4
1-800-567-9727 | info@interwrap.com