American Insert Flange

American Insert Flange Company, Inc.
649 Lebanon Avenue
Williamstown, NJ, 08094
Phone: (856) 629-4555 ● Fax: (856) 728-1304
Email: sales@AmericanInsertFlange.com
"American Pride"

Free Mug Survey

Please fill in the form below to receive your free American Insert Flange Travel Mug. Please note that these mugs are expected in by mid-November 2006 and will ship as soon as they arrive. Also, only valid submissions with all questions answered will be processed to receive this item. We ask that you only submit one entry per person. AIF does not share your contact information with any other parties. Thank you for your interest!

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1. Choose the description that best suits the company you work for.

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2. Please fill out your contact information.

First Name	***
Last Name	***
Company	***
Address	***
City	***
State	***
Zip Code	***
Telephone	***
FAX
E-mail	***

3. Have you ever used insert flanges in a piping application?***
Yes No

4. Have you ever used standard flanges (regular one-piece forged flanges) in a piping application?***
Yes No

5. Are you involved with jacketed piping applications?***
Yes No

6. Do you play a role in specifying what flanges will be used in a piping system?***
Yes No

7. Would you be interested in receiving a sample of an insert flange for single pipe?***
Yes No

8. Would you be interested in receiving a sample of an insert flange for jacketed pipe?***
Yes No

9. On a scale of 1 to 10, how interested are you in using insert flanges? (1 being not very interested, and 10 being very interested)***

10. Please leave us additional comments or questions about our web site or insert flange product. We value negative and positive feedback in our efforts to improve our business to meet your needs. Thank you for the time it took to fill out this survey.***