All American Wood Register Co.

The fields marked with an asterisk (*) are required in order for us to provide a response to your inquiry. If you wish a reply via e-mail, we must have your cyber address. All American Wood Register Co. does not sell direct to the public. To qualify as a legitimate distributor or dealer, please enter the following information. Those unable to provide this information will be referred to their nearest distributor or dealer.

First Name*			I’m sending this form: To receive a quote on To place an order for the products listed below.		Our purchase order number for this order:
Last Name*
Title*
Company *
Street Address*
City/Town*
State/Province*	Postal Code*
Country*			If you are a distributor or dealer with a Tax ID number, please enter that number here. Those unable to provide this information will be referred to their nearest distributor or dealer.
Phone*
Fax
E-mail*
I am interested in: (Check all that apply)
Stock Registers Custom Registers		Metal Registers Mouldings & Accessories		Merchandising Display or Literature

Use the table below for Stock Registers:

Qty.

Size

Wood Specie

Model/
Mount Style

Flush Mount
Frame

Finish
(Red Oak Surface Mount Only)

Damper

Airflow
Control

Surface

Standard

Unfinished

Yes

Elevated*

Flush

Grooved

Light

Recessed**

Baseboard

Medium

Slab

Dark

*For use in walls, ceilings, and toe kicks.

**For use in floors.

Surface

Standard

Unfinished

Yes

Elevated*

Flush

Grooved

Light

Recessed**

Baseboard

Medium

Slab

Dark

*For use in walls, ceilings, and toe kicks.

**For use in floors.

Surface

Standard

Unfinished

Yes

Elevated*

Flush

Grooved

Light

Recessed**

Baseboard

Medium

Slab

Dark

*For use in walls, ceilings, and toe kicks.

**For use in floors.

Surface

Standard

Unfinished

Yes

Elevated*

Flush

Grooved

Light

Recessed**

Baseboard

Medium

Slab

Dark

*For use in walls, ceilings, and toe kicks.

**For use in floors.

Use the table below for Custom Registers. We will follow up with a phone call to confirm your information and details.

Qty.	Size	Wood Specie	Model/ Mount Style
				Surface
				Flush
				Baseboard
				Slab

				Surface
				Flush
				Baseboard
				Slab

				Surface
				Flush
				Baseboard
				Slab

Use the table below for Metal Registers:

Qty.

Size

Finish

	4" x 10"
	4" x 10"
	4" x 12"
	4" x 12"
	2.25" x 12"

	Polished Brass
	Copper
	Antique Brass
	Copper

	4" x 10"
	4" x 10"
	4" x 12"
	4" x 12"
	2.25" x 12"

	Polished Brass
	Copper
	Antique Brass
	Copper

Use the table below for Shipping Instructions:

Shipping Mode

	Ground
	Next Day
	Second Day
	Third Day

Please type any information request which does not pertain to registers below. Indicate how you would like to be contacted, and when the best time is to reach you. We will do our best to give you the most prompt response possible. We monitor our feedback several times a day during the work week.

7616 Hancock Drive • P.O. Box 348 • Wonder Lake, IL 60097
Phone 815/728-8888
Fax 815/728-9663

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