Poxy Coat®—One Part Epoxy Coating | Purchase Product Request Form

To obtain pricing, purchase product, or get additional information, please submit the following information.

Please fill out the entire form.

Subject of Inquiry:

Contact Name:

Company Name:

Address:

City:

State:

Zip Code:

Phone Number:

Fax Number:

E-mail Address:

Details of Request: Please provide us with any information that might help us with your request. (i.e. Intended Use, Present Surface Area, etc.)

Area to Cover:

Please indicate need:

How did you hear

about Poxy Coat?:

K. Coatings sells its product only through a select network of distributors.
Accordingly, the above information will be submitted to a dealer presently servicing your area.

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P.O. Box 391699, Solon, OH 44139-1699

Phone 440-248-8288

Fax 440-349-2267