ORDER SAMPLES:       * = required fields Name: * * Email Address: * * Company: Address: City: State: Zip: Phone: Fax: Would you like a sample? Yes     No Name of product(s): Quantity of product(s): Application of product(s): Would you like technical information? Yes     No Please specify: Do you need assistance in selecting a product for your end application? Yes     No Please specify: Please provide any additional comments or questions so we may better serve you:     Diversitec Corporation can be contacted at the following: Phone: 970.491.9900 Fax: 970.491.9551 Email: diversitec@prodigy.net Postal Mail: 1225 E. Red Cedar Circle, Fort Collins, Co. 80524, USA HOME   ||   about   ||  services & capabilites   ||  order samples Site designed and programmed by Anis Inc. All Contents Copyright © 1999 - Diversitec Corporation - All Rights Reserved