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 Information/Quote Request Form 

If you are not a registered user; please complete all required fields and click submit. Someone will be in touch with you shortly. If you prefer to call us, please use our Toll Free number : 1-800-665-2740, or e-mail us: sales@rescom.ca

If you are an existing Customer or Dealer, please check the "Registered User" box, you will not be required to fill in all fields.  Enter your e-mail address and password, and complete the rest of the form as required.

(Name, street, city, prov/state, postal/zip, country, and company are inactive fields for registered users)

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 Registered User
First Name : * Last Name : *
Subject : * Street : *
City : * State/Prov : *
Country : *
Postal/Zip :
*
E-mail : * Password:
Company : * Phone : *
Product: How Did You Hear
About Us?
Message : Please specify whether you are requesting a quote or information on a product.
   

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