Catalogs Request Form

Please fill in this form to request a current catalog, then click the SUBMIT button to forward your request, and be sure to include an e-mail address or fax number for our follow up.

If you are an existing Customer, please provide your Account Number in the field below.
Click here to request Product Information.
*denotes a required field

Please provide a street address as we cannot ship to a P.O. Box.


Business Type*

Account Number  

First Name*

Last Name*
Company Name


City* State*
Country* Zip Code*
Telephone* Ext
eMail Address*

You will be added to our mailing list, which is never used outside of our Company.

How did you find Pollardwater?  
* Enter the security code shown:

Do not enter spaces in the code.
Include me in Pollardwater's promotions.