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Product Information Request Form
Required information is in red.
Products of Interest
Induction Heating Units HF Welders
Water Cooling Systems
Output Transformers
Accessory & Work Handling
      Equipment

Miscellaneous
Model and/or Other Descriptive Information
What is the intended use of this (these) product(s)?
Additional Remarks

Customer Information

Name First: Name Last:
Title: Company:
Address: City:   
State:     Postal Code:     Country:  
Telephone:    - 
Fax:   - 
Email:
Do you have Induction Heating Equipment? Yes    No
Do you have HF Welders? Yes    No
How would you like us to contact you?     Call    Fax    Email


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East Coast Induction, Inc.
P.O. Box 2039
Brockton, MA 02305-2039
Telephone: (508) 587-2800
Fax: (508) 587-9079
  

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