SCHAEFFER
Marketing Group
Incorporated

Information Request Form

Please provide the following information and describe the information you require in the comment section below.

How would you describe your position?

What market segment do you represent?

Contractor

Commercial

Distributor

Residential

Engineer

Industrial

Specifier

Telecommunications

Other

Power Utility

Please describe information needed:

Name:

Company:

Address:

City:

State/Prov:

Country:

Zip/Post. code:

Phone:

E-mail:

SCHAEFFER
Marketing Group
Incorporated