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ChE Assist -- Registration

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Use the form below to tell us about your request.  If you prefer, you can download this form in Adobe Acrobat format and then fax or email it to us later.

Name:
Company:
Country:
State (if applicable):
Phone:
Fax:
Email:
Do you require the assistance of a Professional Engineer?
Bid Amount in U.S. Dollars:
Minimum Bids:
Non-professional engineering: $150
Professional Engineering:         $300
Main products produced at your facility:
Problem Statement:
Be as specific as possible and include as much detail as you can.  If you need to include drawings, sketches, or other loose pieces of paper, you can use one of the two methods described below.  Be sure to include your email address with this information.

1.  Email us your additional information

2.  Fax us your additional information at:
     (561) 658-6489


 


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