First Name
Last Name
Company Name
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Company Type DistributorWholesalerManufacturerConsumerOther
If you chose "Other" as Company Type, please explain
Email (required)
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Fax Number
Brush Quantities Needed
Brush Application
A. Brush Diameter (inches)
B. Brush Length (inches)
C. Overall Length (inches)
D. End Type —Please choose an option—Pipe NipplePlastic HandleWood HandleStraight StemLoop End
– If Loop End is requested, Loop End Diameter (inches)
Note: If end loop is requested on brushes made with nylon, poly or natural filament, they will have a "bent loop".
E. Stem Diameter (inches)
F. Stem Material
G. Brush Filament Diameter (inches)
H. Filament Type —Please choose an option—NylonPolypropylenePolyesterTampicoHorse HairBrassPhosphorous BronzeStainless SteelCarbon SteelOther
– If "Other" is selected, please indicate type
– Level or Crimped —Please choose an option—LevelCrimped
– Filament Color
I. Fill Amount —Please choose an option—LightMediumHeavy
J. Tip Style —Please choose an option—Twisted EndVinyl TipBlunt EndTurned TuftOther
– If "Other" is selected, please indicate type:
K. Tip Length (inches)
L. Twisted Wire —Please choose an option—Single Spiral/Single StemSingle Spiral/Double StemDouble Spiral/Double Stem
M. Stem Length (inches)
Additional Information
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