*Name:

*Email:

Address:

Phone:

City:

Fax:

Province/State:

Country:

Postal/Zip Code

PRODUCTS YOU ARE INTERESTED IN:

TELL US ABOUT YOURSELF:

  Everyday

  Retailer

  Container

  Wholesaler

  Bulk Pack

  Mass Chain Department Store

  Pillar

  Mass Chain Drug Store

  Specialty Packaging

  Cosmetic

  Aromatherapy Family

  Food Store Chain

  Decorative Seasonal Item

  Other

  Other

Yearly Estimated ($) Business in Candle Category

Purchased $

Follow Up Call

Yes  No

Or send your inquiry by:

Mail:
Premier Candle Corp.
Sales Department
960 Britannia Road East
Mississauga, Ontario L4W 5M7

Phone: (905) 795-8833
Fax: (905) 795-0082
Email: sales@premiercandle.com