Please use this handy form to request your order, and a Reit Lubricants Co. representative will respond as soon as possible.

You may also call your regional office: 800-227-1808 (PA/NJ area), 800-423-3624 (DE/MD area).

Please note: this form is for informational purposes only; it is not an order form and no payment is required at this time.

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Please fill out the following information

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Address:(City, State, ZIP)


Name:(First, MI, Last)



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I would like to place the following order:

Please correctly type in the following phrase to verify:

Please add the following numbers '7+8' in the box to the right.