Flom Corporation 14333 Laurel Bowie Road Laurel, Maryland 20708 Phone 1-800-285-3566 Fax 1-301-498-8404

A trained Flom representative will contact you within 48 hours to evaluate your needs. Please provide as much of the following information as possible.

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Describe your business:	Binder Converter Printer Publisher Other
Waste currently handled by:	Broker Local Plant Other Not at all
Please state your objectives:

When you have filled out the form please click the button to the right. Thanks!