Flambeau Premiums
STANDARD BUSINESS PRACTICES & SAMPLESCATALOGCONTACT USHOME
Sample Request Form * Required Fields
* First Name:
* Last Name:
* Business Name:
* E-mail Address:
* Phone Number:
(with area code,
no hyphens)
Fax Number:
(with area code,
no hyphens)
City:
State/Province:
Postal Code:
(no hyphens)
PPAI or ASI Number:
*Please include
item number,
description,
quantity & your
purchase cost
Phone: 800-457-5252Fax: (440) 632-1581E-mail: premiums@flambeau.com