Consumer Contact Form

Tri-Cor International welcomes any questions or comments that you may have regarding Private-Door or this web-page. Please fill out this form and click on the "Submit Form" button below when finished. To avoid multiple submissions of this form use the "Tab Button" to change fields.  Thank you for your interest in Private-Door.
First Name		Middle Initial
Last Name
Organization
Street Address
City
State/Province		Zip Code
Country
Home Phone		Work Phone
FAX
E-mail		URL
	Please send a digital catalogue with Digital Demo Video.		Please send me a VHS Demo Video.
	I am interested in the following model:		I saw Private-Door in a magazine, web page or other.
	Please select one. No specific model All Private-Door Models Private-Door Solo Private-Door Assistant Private-Door Duo Private-Door System Private-Door Remote Release
	I am interested in the Early Alert.
	Private-Door is for		Private-Door will be installed on
	Please select one. My use A family member A friend		Please select one. No specific use A home A townhouse A condomium An apartment A professional office A home office Assisted Living
	My need is		Contact Me
	Please select one. Just Curious may buy in the future. Immediately 60 to 90 days 90 plus days		Please call.
			Send material only
Comments: Enter in your questions and comments in the field below.

rc 5/7/04