Orgill Prospective Customer Follow Up Form
Please fill in each field as completely as possible. Upon submission, your information will be immediately sent to the appropriate departments. If you would prefer to contact us by phone, please call:
1-800-347-2860 ext. 5373.
Contact Information
Business name:
Your name or designated contact:
Phone Number:
E-mail:
Address:
City:
Country:
State/Province:
Zip:
Additional Company Information
No. of stores:
Type of business:
Current Suppliers/Other Comments:
How did you find out about us: