Toreador Resources | Materials Request

Materials Request

To request information via mail, please fill out and submit the form below:
	(To order additional items please indicate in the "Additional Comment or Request" box at the bottom of the page.)

Personal Information
Required fields denoted by an asterisk (*).

Please add my name and address to Toreador's mailing list
Please add me to Toreador's email list
Please add me to Toreador's fax list
Courtesy: (Mr., Mrs., etc.)
First Name:*
Middle Initial:
Last Name:*
Suffix: (Jr., Sr., etc.)
Title:
Organization:*
Address:*

City:*
State or Province:*
Zip or Postal Code:*
Country:
Email:*
Fax:
Phone:
Classification:
All shipments will be sent 1st class mail unless specified otherwise. If you want shipment via FedEx or UPS, please provide account number.
Shipping Options:	1st Class USPS FedEx UPS
Account Number:
Additional Comments or Requests:


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