Untitled Document

Corporate Headquarters
Companyname
Some avenue, New York 12180
Tel: 1-800-111-1111
Fax: 1-800-123-1234

Customer Service:
Tel.: 1-800-123-1234
Fax.: 1-800-123-1234
e-mail: custom@cname.com

First Name:

Last Name:

Company Name:

E-Mail:

The Company Name Inc.
8901 Marmora Road,
Glasgow, D04 89GR.
Freephone: +1 800 559 6580
Telephone: +1 800 603 6035
FAX: +1 800 889 9898

The Company Name Inc.
9863 - 9867 Mill Road,
Cambridge, MG09 99HT
Freephone: +1 800 559 6580
Telephone: +1 800 603 6035