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Call:	800.365.2645 574.753.6622
Fax:	574.753.8161
Mail:	131 Godfrey Street, P.O. Box 540 Logansport, IN 46947
Email:	Use Form Below

Request a Catalog - Also fill out the following:
Address*:
Town*:
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Zip/Postal Code*:
Country*:

Request a Custom Spring - Also complete the following:
Free Length*:
Rate*:
Diameter*:	Inner (Coil Over) Outer (Conventional)
End Coil Configuration*:	Closed & Ground Flat (both ends) One end closed & ground flat, the other open Other
Quantity Required*:
Do you have a sample?*	Yes No
Describe Application / Special Instructions*:

Dealer Application - Also complete the following:
Business Name*:
Primary Business?	Yes No
Street Address*:
Mailing Address*:
City*:
State*:
Zip*:
Country*:
Telephone*:
Fax:
Web Site:
Officer/Owner Name(s)*:
Manager's Name:
Purchasing Agent:
Year Established*:
Business Hours*:
Warehouse Size:
No. of Employees*:
Primary Customers*:	Retail Wholesale
No. of Customers*:
Do you...?
Offer a Catalog	Yes No
Have a Retail Store	Yes No
Service Tracks w/Parts Trailer	Yes No
Already Sell Suspension Coils	Yes No
Areas & Markets You Serve*:

Trade Shows You Participate In:

Publications You Advertise In:

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