Name:
Title:
Organization or
Company Name:
Address:
City:
State/Province:

 

Zip/Postal Code:
Country:
Telephone #:
Fax Number:
E-mail:
Internet Address:

 

Please check the ONE box below that best describes your company.

DEALER/RETAILER:

    Automotive Parts, Supplies and Accessories
    Emergency and Industrial Equipment Supplies
    General Merchandise, Gift, Premium, Hardware
    Hunting, Camping, Sporting Goods, Fishing and Marine Products
    New/Used Vehicles

INTERNATIONAL:

    Export Agent- Automotive
    Export Agent-Recreation Products
    Export Agent-General Merchandise, Gift, Premium, Hardware
    Export Agent-Emergency/Safety/Military
    Importer- Automotive
    Importer-Recreation Products
    Importer-General Merchandise, Gift, Premium, Hardware
    Importer-Emergency/Safety/Military

MAIL ORDER:

Automotive Parts and Accessories
Emergency and Industrial Equipment Supplies
General Merchandise, Gift, Premium, Hardware
Hunting, Camping, Fishing and Marine Products

MANUFACTURER:

    Ambulances, Fire Trucks or Rescue Vehicles
    Boats
    Boat Trailers
    Specialty Trailers or Trucks
    Truck and/or Van Conversions



WHOLESALER/DISTRIBUTOR

Heavy-Duty
Automotive Parts and Accessories
Emergency and Industrial Equipment Supplies
General Merchandise, Gift, Premium, Hardware
Hunting, Camping, Fishing and Marine Products



OTHER:

Advertising/PR
Consultant/Engineer
Trade Association
Press/Publications/Media
Municipal County Police/Fire/Emergency
State Government
Federal Government


To better understand your needs, please answer the following:

1. Do you want a copy of our Automotive Catalog? Yes No
2. Do you want a copy of our Recreational Products Catalog? Yes No
3. How many employees in your organization/company?
4. May we follow up on this inquiry? Yes No
5. Is your purchasing need:
Immediate
3-6 Months
Perhaps in the Future
We would appreciate your comments and suggestions:



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Retail Links |  Installation Guide of Lights & Reflectors |  Replacing Boat Trailer Lighting

OPTRONICS, INC. 401 S. 41st Street East Muskogee, OK 74403 USA
ph: 800-364-5483  fx: 918-683-9517  |  sales@optronicsinc.com