Catalog Order Form

* Required

Please provide the following information:

First Name *
Last Name *
Title
Company *
Address *
City *
State *
Zip *
Phone *
Fax
Email *
Web Site

How did you hear about us?

Other, please specify

What products are you interested in? (check all that apply):

Caps Golf Shirts Sweatshirt Hard Goods
Jackets T-Shirts Sweaters Other

How does your company use promotional items? (check all that apply):

Giveaways Uniforms Sales/Dealer Gifts
Incentives
Employee Awards Employee Purchase Trade Shows Safety/Wellness Awards
Program
Premium(tied to qualified purchase) Other

Which of the following best describes your job responsibilities? (Please choose one):

Other, please specify

Are you involved in the purchase of logoed merchandise?

If yes, what is your role?

In what months do you typically make purchase decisions on logoed merchandise? (Please check all that apply.)

Jan-Mar  Apr-Jun
Jul-Sep Oct-Dec


Copyright © 2003 M-C Industries, Inc. All rights reserved.
Revised: November 14, 2008