Request Literature & Samples This form can be used to request literature and samples kits. The product selection and Comments / Notes / Questions fields can be used to reference multiple products and/or specific interests. Contact Name Company / Group Address City Country—Please choose an option— Province / StateSelect Province / State Postal / Zip Code Company Phone # Email Address Type of Business / Group Current CustomerYesNo Please select the product type that most interests you. Select one option Custom Embroidered EmblemsLowProfile® Embroidered EmblemsSimBroidery® EmblemsAppliqué Embroidered EmblemsHiVis Embroidered EmblemsEmbroidered Reflective EmblemsEmbroidered Flame Resistant EmblemsEmbroidered EpauletsEmbroidered Felt Emblems Chenille EmblemsWoven EmblemsWoven LabelsBullion EmblemsPVC EmblemsLeather EmblemsTransfers (specify)Direct Design ServicesOther Products (specify in comments) Other Products Send me a catalogue Send me samples Please use the Comments / Notes / Questions field to indicate other products of interest How did you hear about Emblemtek?Internet SearchTrade showBuyer's GuideAssociation DirectoryReferral / ColleagueLiteratureAdvertisementSales RepresentativeOther If other