OKW Enclosures, Inc. - Sample Request Form

SAMPLE REQUEST FORM

800 965 9872

412 220 9247

SAMPLE DETAILS
Please send me a sample of the following
enclosure, accessories or tuning knob:

Part Number	Description	Qty

Most sample requests are despatched within 24 hours. However, if an item is out of stock,
delivery will usually be within 14 days.

TERMS & CONDITIONS
Free samples are only available on product lines which have the 'Get a Free Sample' link on the product information page.
We reserve the right to decline multiple sample
requests, or requests which exceed $100 in value.
You can check the value of your samples with our online Price List.
Requests outside of the USA & Canada will be forwarded to our local subsidiary or agent.

YOUR DETAILS * = Required
Mr/Mrs/Ms	*
First Name
Last Name	*
Job Title
Company	*
Address1	*
Address2
City	*
State	*
ZIP	*
Country	(If not USA)
Phone	*
Fax
E-mail	*
Other requests