SAMPLE REQUEST FORM

Please provide the following contact information:

Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

FAX

E-mail

Please provide the following specifications for the samples that you are requesting.

Type of Sample

50 Guage License Plate Insert, ID Key Tag, etc...

***If you are requesting our plastic license plate, please specify above the thickness that you are requesting. We now carry our thicker 50 gauge plastic and our thinner 30 gauge.

Color Of Sample

Example: White with blue print.

We will do everything possible to the exact sample that you are requesting. If we do not have the exact specifications of the sample, we will send you one as close as possible. .

Comments or questions.

If you have any questions, you may contact us at: 1-800-828-07451

Polytuff, Inc

Greenville, SC

*Name*
*Organization*
*Street Address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal Code*
*Work Phone*
*FAX*
*E-mail*