Please complete the attached Register/Request form and send to ECS via this web document or fax to 602.712.7424.

CONTACT PERSON:
 
FIRM NAME:
 
FIRM ADDRESS:
 
CITY, STATE, ZIP CODE:
 
TELEPHONE NUMBER:
 
FAX NUMBER:
  
EMAIL ADDRESS:

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Packages will be sent via US Mail unless noted below.

Please contact ECS at 602.712.7525 if you do not receive your package within two days. We will not be held responsible if package is not received in a timely manner that precludes your firm from responding to our solicitation.

If you prefer to have packages delivered, you may do so at your own expense. What type of shipping?

Please identify below.
U.S. Mail Fed Ex UPS Airborne Other -- Noted in Instructions Below

List Account Number:

Explain any special instructions: