Your Contact Information
Color Match Request
Enter an Order
Send Us a Message
Key Contacts at Accel Color

YOUR CONTACT INFORMATION

First Name:		Last Name:
Company:		E-mail
Phone Number:
Fax Number:
Street Address:
City:		State:	. Alaska Alabama American Samoa Arizona Arkansas Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
		Zip Code:
Country:	United States American Samoa Australia Austria Bahamas Belgium Bermuda Bolivia Brazil British Indian Ocean Territory Canada Cape Verde Cayman Islands Costa Rica Denmark Dominican Republic El Salvador France Germany Guam Hong Kong Hungary Iceland Indonesia Ireland Israel Italy Jamaica Japan Republic Of Korea Mexico Netherlands New Zealand Norway Peru Philippines Poland Portugal Puerto Rico Singapore South Africa Spain Sweden Switzerland Taiwan Thailand United Kingdom United States Minor Outlying Islands British Virgin Islands US Virgin Islands

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COLOR MATCH REQUEST

First Name:		Last Name:
Your email Address:
Color Specifications:		End Product:
Color Description:		Molding Process:
Color Name:		Molding Temperature:
Resin:		Date Required:
Sending Standard:	Yes N o	# Chips Required:
Standard Description		Sample Required:	Yes No
		Documentation:
		Price Letter:	Yes No
		FDA Certification:	Yes No
		Heavy Metal Free Cert.:	Yes No
		Other:
Sending QC Resin:	Yes No	Notes:
Product Form:
Color Concentrate:	Yes No
Let-down Ratio:
Precolor Compound:	Yes No
Dry Color Blend:	Yes No
Color Gem:	Yes No
A representative from Accel Color will contact you to confirm receipt of your color match request.

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ENTER AN ORDER

First Name:		Last Name:
Your e-mail Address:
Accel Product Number:		Quantity:
Product Name:		Date Required:
Purchase Order Number:
Ship to Address:
Street Address:
City:		State:	. Alaska Alabama American Samoa Arizona Arkansas Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
		Zip Code:
Country:	. United States American Samoa Australia Austria Bahamas Belgium Bermuda Bolivia Brazil British Indian Ocean Territory Canada Cape Verde Cayman Islands Costa Rica Denmark Dominican Republic El Salvador France Germany Guam Hong Kong Hungary Iceland Indonesia Ireland Israel Italy Jamaica Japan Republic Of Korea Mexico Netherlands New Zealand Norway Peru Philippines Poland Portugal Puerto Rico Singapore South Africa Spain Sweden Switzerland Taiwan Thailand United Kingdom United States Minor Outlying Islands British Virgin Islands US Virgin Islands
Notes:
A representative from Accel Color will contact you to confirm receipt of your order.

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SEND US A MESSAGE

First Name:		Last name:
Your e-mail Address:
Catalog/Information Request:
Area of Customer Interest:
How did you hear about us?
Questions/Comments
A representative from Accel Color will contact you to regarding any questions you might have.

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KEY CONTACTS

		Office Phone	Mobile Phone	E-Mail
Executive V. P. of Manufacturing / Central Midwest Region Sales
	Mike Gross	(630) 579-6961	(630) 202-5425	mgross@accelcolor.com
Eastern Region Sales
	Dave Phillips	(440) 934-7711	(440) 371-1540	dphillips@accelcolor.com
Special Product Sales
	Dennis Meade	(440) 934-7711	(419) 295-7639	dmeade@accelcolor.com

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