Brennan Industries - Join Our Mailing List

E-Mail Updates

Complete the following form to receive free e-mail notification of important product and industry news.

Information you provide will not be shared with any other party and you may unsubscribe from the service at any time.

Pipe & Straight Thread Fittings	37^o Flared Fittings
O-Ring Face-Seal Fittings	Stainless Bite-Type Fittings
International Fittings	Forged Fittings

Would you like a free copy of our catalog?	Yes No
Would you like a free copy of our product wall chart?	Yes No
Would you like a free copy of our fittings interchange chart?	Yes No
Would you like the name of your local distributor?	Yes No
Would you like a salesperson to contact you?	Yes No
Would you like a quote on a part?	Yes No

If yes, please describe briefly.

What is the name of your current distributor?

What type of industry are you in?

Who is your major adapter supplier?

What $ amount best describes your purchasing authority?


What is your typical annual spending on:

O-Ring Face Seal/Flat Face Fittings:
Tube Fittings & Adapters:
Flareless Bite Type Fittings:
International Fittings:
Flaro(NWD) Fittings:

Have you purchased from Brennan before?

First Name	Last Name

Title

Company

Email Address

Address

City	State	Zip

Phone No.	Fax No.