CarePro Inc. - Information Request Form

CarePro Inc.

Featuring the Finest Therapy & Burn Care Products

Information Request Form

Questions? Comments? Want to place an order?
Please fill out the form below and we will be glad to assist you in any way we can. You can also contact us by phone, fax, or regular mail at the address at the bottom of this page.
To allow us to better assist you, please fill out the form completely and be as specific as possible with your questions and comments. We certainly appreciate your interest.

Name:

Email Address:

Street Address:

City:
State: Zip:
Phone Number:
() ext:
Fax Number:
()

Please tell us which product line you are interested in:

Do you wish to place an order at this time?

Are you interested in a distributorship?

Please enter your questions and/or comments:

Tom Jones, VP - Sales
CarePro, Inc.
3630 E. Desert Storm Ave.
Hereford, AZ 85615
USA
520-803-6543
520-803-6542 - FAX
Email us at tomj@globalpro.com



		Information Request Form
		Questions? Comments? Want to place an order? Please fill out the form below and we will be glad to assist you in any way we can. You can also contact us by phone, fax, or regular mail at the address at the bottom of this page. To allow us to better assist you, please fill out the form completely and be as specific as possible with your questions and comments. We certainly appreciate your interest.
Name: Email Address: Street Address: City: State: Zip: Phone Number: () ext: Fax Number: () Please tell us which product line you are interested in: Do you wish to place an order at this time? Are you interested in a distributorship? Please enter your questions and/or comments:

		Tom Jones, VP - Sales CarePro, Inc. 3630 E. Desert Storm Ave. Hereford, AZ 85615 USA 520-803-6543 520-803-6542 - FAX Email us at tomj@globalpro.com