Contact Us To Learn More About Plasticmate!

Get a free Plastic-Mate™

for your

1. Business/distributor: email us today.

2. Free samples (SASE & handling) to all other registrants below.

3. Cash reward ($30) for each successful referral.

* Required

First Name*:
Last Name*:
Mailing Address*:
City*:
Zip*:	State*:
e-mail*:
Phone*:
Fax:
Do you know someone who can benefit from using Plastic-Mate™ in his/her business?
Yes:	No:

Enter below: Name(s) of person* or business*, address* and phone* #

and earn $30 cash for each successful referral.