An ISO 9001 Certified Company.
1061 INDUSTRIAL PARKWAY, MEDINA, OHIO 44256
PHONE: 1-800-345-7693
FAX: 1-800-581-9264
E-MAIL: CustomerService@BMSBurns.com

 

 BMS CATALOG REQUEST FORM

Please fill out completely

We need your assistance in making sure our mold building and plastic molding catalogs get to the right people and that only mold builders and plastic processors are put on our mailing list. Please take a moment to fill out this form, thank you.

2) Approximate number of molding machines

3) Do you have our current catalog?

4) Should we add your company name to our mailing list?

5) Do you have other locations doing plastic molding or mold building?

   

6) Please list your complete MAILING information below (we may call you to verify).
    Catalogs will be delivered using United States Postal Service or United Parcel Service.
    Please complete both Shipping Address: and Mailing Address: below if different.
    * = required fields

Shipping
Address
Company Name:
 *
Street: *
City: *
State:
Zip: *
Country: *
 

 
Mailing address if same as above:
Mailing
Address
 Company Name:
PO Box or Street:
City:
State:
Zip:
Country:
 

Contact
Information		 Telephone Number: *
Fax Number: *
Your Name: *
Title/Position:
 *
E-mail:
 *