Request for Engineering and Technical Support

If you have technical questions about our products or need applications assistance, please complete and e-mail the following form (or fax your inquiries to 714-736-7501) and an engineering representative will be in contact with you:

Leach International, North America
6900 Orangethorpe Ave.
P.O. Box 5032
Buena Park, CA 90622-5032

FAX: 714-736-7598
e-mail: jmuniz@leachintl.com

Please complete the required information (marked "*") and click Request Support.

To avoid delays, please provide as much detailed information as possible.

*Your Name:
*Company Name:
*Address:


*City:
*State/Province:
*Postal/Zip Code:
*Country:
*Phone Number:
	e.g. 555-555-5555 x555
Contact Fax:
	e.g. 555-555-5555 x555

	Your email address is important. It is used to communicate our response
	Check to receive email copy of your Request
*Email Address:
*Email Format:	Plain text Formatted text

Additional Comments:

If you would like to include a file with your Request, please submit the form and then email the attachment to jmuniz@leachintl.com... Make sure the attachment is sent from the email address that was filled in above.