Free PlugTail™ Sample *Electrical Product*

[NoseThePutah]

*DOES ASK FOR COMPANY NAME*

Request a Free PlugTail™ Sample
To receive your free PlugTail™ sample, please accurately fill out the form below (fields with a are required):
Please select which PlugTail™ sample you’d like:
(Includes connector)

Extra Heavy-Duty (PT5362AI)
Spec Grade (PT5362I)
Hospital (PT8300LA)
Decorator (PT26352LA)

http://www.passandseymour.com/plugtail/samplerequest/request.cfm

Sample offer expires 9/31/2006
**Due to high demand, please allow 4-6 weeks for delivery

 

[mike69]

it keeps saying i did not complete all the fields even though i did so

 

[NoseThePutah]

This is what I got:

Request Submitted