|   Special Product Request FormPML can customize media to meet your specific needs. Please complete the form below, and PML's product manager will provide you with a quote and lead time information. The items in bold are required.  
 You may also reach us in the following ways:
 
              
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 | Mail |  | PML Special Product Group Attn: Clay McElhany
 
 Wilsonville, OR 97070
 |  Special Product Order Conditions PML reserves the right to ship +/- 15% per special product order.All non-stock raw materials are subject to purchase by customer upon cancellation of special product orders.
 A minimum lead time of 3 weeks required for all special orders.
 This form constitutes a contract manufacturing specification application. RV2/24/97
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