Home  About Us  Products  Applications  Contact Us Request for Samples & Information To receive samples and more information about any of the products listed below, please complete the following form. The items marked with an asterisk are required.     * Are you an existing ITW Formex customer? Yes No   * Your full name: * Company name: * Address:   * City: * State/Province: * ZIP/Postal Code: * Country: * Phone: Fax: * e-mail Address: Job description: Select from the list . Design/Development Engineering Electrical Engineering Manufacturing Engineering Mechanical Engineering Computer Engineering Management Purchasing Sales/Marketing Other Industry: Select from the list . Communications Equipment Military & Defense Commercial & Building Computers & Peripherals Consumer Electronics Appliances Networking Equipment Instrumentation Automotive & Transportation Industrial Equipment Other Application: Please send the following samples: Quantity 1 2 3 4 5 12"x24"  Formex GK-5BK Quantity 1 2 3 4 5 12"x24"  Formex GK-10 Quantity 1 2 3 4 5 12"x24"  Formex GK-10BK Quantity 1 2 3 4 5 12"x24"  Formex GK-17 Quantity 1 2 3 4 5 12"x24"  Formex GK-17BK Quantity 1 2 3 4 5 12"x24"  Formex GK-30 Quantity 1 2 3 4 5 12"x24"  Formex GK-30BK Quantity 1 2 3 4 5 12"x24"  Formex GK-40 Quantity 1 2 3 4 5 12"x24"  Formex GK-40BK Quantity 1 2 3 4 5 12"x24"  Formex GK-62 Quantity 1 2 3 4 5 12"x24"  Formex GK-62BK Quantity 1 2 3 12"x24"  Formex-94BK Quantity 1 2 3 12"x24"  Formex-125BK Quantity 1 2 3 24"x48"  Formex GK-160 Quantity 1 2 3 24"x48"  Formex GK-240 Quantity 1 2 3 4 5 12"x24"  Statex-10 Quantity 1 2 3 4 5 12"x24"  Statex-18 Quantity 1 2 3 4 5 12"x24"  Statex-31 Have a sales representative call me Don't send anything now, but put me on your mailing list I prefer receiving information by Regular mail e-mail Please check for accuracy before submitting this form. Thanks for your interest in ITW Formex products and services.