The following form is provided to help categorize your product request and give us more information about your organization, allowing us to better serve you. All information supplied by you will be treated in strict confidence.

This form is divided into two sections:

1. Visitor Information

2. Product Request Information
1. Visitor Information
* = Required Fields
Address Information
* Name:
*Title:
*Company:
*Address:
*City & State:
*Postal Code/Country:
*Email:
*Phone:
*Fax:

Background Information
*Our business can best be described as:

Other (explain)

*Total number of:
Employees Sales People Warehouses

Location of warehouses:

Territory covered:

Range of products sold:
Automotive Paint & Paint Repair Products
Brand Names:

Automotive Body Repair Products
Brand Names:

General Automotive Products
Brand Names:

Automotive Glass Repair / Replacement Products
Brand Names:

Hardware Products
Brand Names:

Industrial Products
Brand Names:
2. Product Request Information
Factory direct pricing from the following companies:
STANPRO
Automotive weatherstrips, glass run channels, vinyl interior trim, door and truck seals, marine dock bumpers, corrugated tubing

HERKULES
Paint gun washers, autobody lifts, can crushers, oil filter crushers, dust extraction systems, air jacks, paint curing systems

STECK
Autobody tools & equipment including specialty, unlocking, pulling, painting & measuring tools

MOTOR GUARD
Full range of autobody refinishing products including sanding blocks, dent removal tools, compressed air filtration systems, etc.

AMERICAN POWER PULL
Cable & chain winch pullers, heavy duty jacks, & hand trucks

S&G
Automotive collision repair, electrical, diagnostic, suspension & alignment, air tool accessories & hand tools

ALL-VAC
Vacuum lifters and grabbers for windshield removal, punch presses & more

POLY/LITE
Windshield repair kits and windshield repair resins

IDI
Automotive glass shop essentials, wool ring applicators, installation platforms, glass racks & stands

AU-VE-CO.
Automotive body & glass

SAFETY-TEX
Specialty fibers and materials where high heat and flame protection are essential, including blankest, gloves and wraps. Ideal for welding, flame protection, spark protection, first to the scene emergency, and small slag protection.

Additional products include:

CUT OUT TOOLS
Automotive windshields

PAINT INSPECTION TOOLS
Automotive