Your regional sales representative is: Magna Engineering Sales Company       301 South Main Street Doylestown, PA 18901 Office: 215-345-5111 Fax: 215-345-7386 E-mail: magna53@aol.com

	Request to sales representative  First Name: * Last Name: * Job Title: * Suffix (Sr., Jr., III,...):  Sr.Jr.IIIIVV How would you prefer we contact you?:  Phone Fax E-Mail Cell Phone Would you like us to send you a catalog?:  Yes No I am interested in more information about: * Please Select"A" Series Idler Pulleys"H" Series Idler PulleysSplit Steel Drive PulleysMolded Polymer PulleysSpecial Application Pulleys/ComponentsCNC Machined PulleysTiming Pulleys and Belts   Company Name: * Title (Mr., Mrs., Ms., Miss, ...):  Mr.Mrs.Ms.MissDr. Address: * City: * State: * Zip:  E-Mail: * Telephone: * Fax:  Cell Phone:  Message: * Tell us about your specific application needs:  * - required fields