2100 W. Florist Avenue, Milwaukee, WI 53209
(414) 228-7701 • FAX (414) 228-1134
All fields in red are mandatory

2010 Annual Product and Service Guide Distributors
As one of the industry's chief sources of information - seen by 35,000 maintenance and engineering executives - we want to make sure your company's information is listed properly.

There is no charge for your company to be listed in the guide.
Company name
Company address
City
State
Zip
Please provide general Company numbers, including area code, readers can use to request information.
Company phone
Company fax
Company internet address
Company e-mail


Please check the space below next to
each product category your company provides:
Door Hardware
Electrical
Grounds Care
HVAC
Janitorial/Housekeeping
Lighting
Material Handling & Recycling
Paints & Coatings
Plumbing
Roofing
Safety/Security
Tools/Hardware

Next year, this questionnaire should be sent to:

Name:

Title:

Phone: Fax:

E-mail:

Provide your name and contact information so we can reach you if questions arise:

Name:

Phone: Fax:

E-mail:

Thank you for your help.