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Company Information

Company Name *

Primary Contact *

Title *

Street Address *

City *

State *

Country *

Phone *

Email *

Website *

Business Activity *

Company Structure

Privately or Publicly Held? *

How many years have you been in business? *

What countries do you service *

Annual Sales (in US Dollars) *

Customer Profile

Please list your company’s main customer accounts *

Financial Information

Bank Name*

Contact Person *

Address *

Telephone Number *

Fax *

Questionnaire Completed By *

Name

Title *

Date *

Primary Contact *

Title *

Comments *

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Contact Information

Global Elastomeric Products, Inc.

Main Phone: (661) 831-5380
5551 District Blvd.
Bakersfield, CA 93313