Electric Motion Company

Customer Request Form I would like to be contacted by an Electric Motion sales representative, by: phone mail e-mail personal visit
Your name		Title
Company name		Street address
Mail address
City		State
Zip		E-mail address
Phone number	ext.
Fax number
Your product interest (please check all that apply): Plain braid, braid with eyelets, Ultrabond, custom-made braid assemblies. Harnesses #6-14 AWG, Microbond ground straps on a roll. Plain bonding ribbon, perforated bonding ribbon, bond bar. Bonding ribbon connectors, clamps. Ground wire — bare, tinned, insulated. Wire terminals — screw-on or crimp type. Trailer I-beam clamps. Bronze vise-type connectors. Ground rod clamps — heavy duty. Universal ground clamps. Ground bars, PANI bars. B bond clamps. Shield connectors — fiber optic or copper. Buried service wire shield connectors. Pole Line hardware — Fig. 8 cable suspension clamp, mast clamps, midspan clamps, strand clamps. Conductive grounding cement. Electrical connectors. Application: Local phone company. Long distance phone carrier. Manufacturer. Military. CLEC. Railroad. Power company. CATV. Other: Note:

Electric Motion Company, Inc.
Winchester Business Park • 110 Groppo Drive • P.O. Box 626 • Winsted CT 06098 • Tel 860/379-8515 • Fax 860/379-7835 • 8 am–5 pm ET, Monday–Friday

Copyright © 2006–2008 by Electric Motion Company, Inc. All Rights Reserved.

Customer Request Form I would like to be contacted by an Electric Motion sales representative, by:

phone mail e-mail personal visit

Application:

Local phone company. Long distance phone carrier. Manufacturer. Military. CLEC. Railroad. Power company. CATV.

Other:

Note:

Customer Request Form

I would like to be contacted by an Electric Motion sales representative, by:

Local phone company.
Long distance phone carrier.
Manufacturer.
Military.
CLEC.
Railroad.
Power company.
CATV.