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First Name: Last Name: Address: Suite/P.O. Box: City: State: Zip: Phone Number: E-mail Address:   Enter Company Information (if different than above):   Company Name: Title/Position: Address: Suite/P.O. Box: City: State: Zip: Work Phone Number: Extension: Fax Number: Type of Business: Where did you hear about us?:   Enter your question or information request below. (Please be as specific as possible. If requesting a quote, include pertinent information such as material, quantity, and required tolerances; email us a file if possible): Contact Information: 8530 Roland Street, Buena Park, CA 90621 Fax: (714) 670-2821 • Email: info@hi-tech-products.com