Midwest Can Company & Container Specialties, Inc. Corporate Headquarters 1950 N. Mannheim Road Melrose Park, IL. 60160 (708) 615-1400 (708) 615-0381 Fax (800) 548-7513 Toll Free
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	Name: Company: Title: Address: City: State: Zip Code: Country: Phone Number: Fax Number: Email Address: Questions Or Comments:       Priority Response Requested.     If you would like more information and to help us serve you better, please take a moment to check the following box(es) that pertain to your needs.    "Your Business" check all that apply:    National Chain Store Regional Chain Store Warehouse Distributor Autopart Distributor Hardware Distributor Convenient Store       Distributor    Food Packaging Chemical Packaging Agricultural Product Packaging Paint Manufacturing / Packaging Ink Manufacturing / Packaging Government / State / Municipal Purchasing Other: specify    Is your company a member of a cooperative buying group? Please specify    Product(s) you are inquiring about:    Fuel Containers / Automotive Accessories Metal Cans Metal or Plastic Pails Plastic Bottles Custom Container Manufacturing Other    How did you hear about us?    Current Customer Yellow Pages Trade Publication ThomasNet Trade Association    Plastics Buyers Guide Referral Website Search Engine Other    How would you prefer to be contacted?    Local / Regional Sales Representative Telephone Mail Email    Would you like to be added to our mailing list?    Yes No    © 1999-2008 Midwest Can Co., All Rights Reserved