If you would like more information on any of our products or services, please take a few minutes to fill out this form. We will respond to your request promptly. First Name: Initial: Last Name: E-mail: Address: Apt.: City: State/Prov.: Postal Code: Telephone: Fax:
		Please indicate where your interest lies: (All of these products can be seen in our product section) Carbon Monixide Alarm Carbon Monoxide Clock Radio        Alarm Carbon Monoxide Clock Alarm Propane Gas Detector Natural Gas Detector Professional Detector Would this interest be related to: (Check one of the following) More Information Service Sales I am a(n): (Check one of the following) End User Distributer Dealer Other Attention: Please place any inquiries you have in here: How would you like to be contacted? Phone Fax E-Mail S-TECH 18 BASALTIC ROAD, VAUGHAN, ONTARIO L4K 1G6 TEL:(905) 660-90661-800-203-7987 FAX:(905) 660-9261 E-mail: info@s-tech.ca Website: www.s-tech.ca