The EDRO Corporation
12345 Street Name
City Name, State Name 12345
Fax: 555-555-5555
email@email.com
800-628-6434

Information Request Form

Company Name Contact Name
Mailing Address City
State Zip/Postal Code
Work Phone Fax
Email Website

Please provide information about YOUR LAUNDRY OPERATION:
Type of facility for laundry operation. Select ALL that apply, or OTHER and describe:

Clean Room Laundry
Commercial Laundry
Correctional / Prison Laundry
DryCleaning / Shirt Laundry
Hotel / Motel / Resort Laundry
Hospital Laundry
Healthcare Laundry
Institutional / Nursing Home Laundry
Marine / Shipboard / Offshore Laundry 		Other (Please specify)

Please provide information about PURCHASE INTENT:

LITERATURE REQUEST:
2011-2012 Product Catalog
Concept brochure on DynaWash®
Concept brochure on DynOzone - DynaWash® Ozone System

COMMENTS / INFORMATION REQUEST:

Equipment

[+] Parts Request

[+] Information Request Form