NEW PRODUCT SUBMITTAL FORM C.R. Laurence Co., Inc. Your Name: Glazing, Architectural, Construction, Industrial, and Automotive Supplies web site: crlaurence.com Company Name: 2503 E. Vernon Avenue Los Angeles, California 90058-1897 Phone (323) 588-1281 Fax (323) 581-6522 Street Address: City, State, Zip Phone # ( ) Fax # ( E-Mail: ) Website: Are you a current supplier to C.R. Laurence Co.? Yes No Type of New Product: Benefits of Product: Is product patented? Yes No Included with submittal: Literature Prices Illustrations Photos Video Tape Samples Other You would like C.R. Laurence Co. to: Buy and Distribute Manufacture and Distribute Other If C.R. Laurence Co. manufactures and distributes the product what type of compensation do you want? Royalty Buy Out Other If you want C.R. Laurence Co. to sign a Confidentiality Agreement, please send one to the attention of Bill Gyore. Please return above completed form to: Bill Gyore C.R. Laurence Co., Inc. New Product Submittal 2503 E. Vernon Avenue Los Angeles, CA 90058-1897 FAX # (323) 584-5228 AVD8715-11/05
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