Request a Mouse Pad Sample

Please use the form below to request a sample of our mouse pads.

Contact Information
Full Name *

Please enter a name
Company *

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Position In Company *

Please enter a name for your title/position
Address *

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City *

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State *

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Zip/Postal *

Please enter a valid zip/postal code
Phone *

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Fax Number

If you have a fax number, please provide a valid one.
Email *

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Sample Mouse Pad Information
Item # *

Please enter the item number that you are interested in.
Size (12 X 18 X 1/8) *

Please fill out the size that you would like.
When do you need the Sample? *

Please tell us when you need your Mouse Pads.
How many units do you plan to purchase? *

Please tell us how many samples that you require.
How did you hear about us? *

Please tell us how you found us.
Other *

Please tell us how your heard about us.
When do you plan to make your purchase? *

Please tell us when you need your Mouse Pads.