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Field Service | Avery Dennison
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</span> </div> </li> </ul> </li> <li> <span>Hanita Coatings</span> <ul class="sectionLanguage bodyTextB7"> <li>Global<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://hanita.averydennison.com/na/en/home.html" hreflang="en">English</a> </li> <li> <a href="https://hanita.averydennison.com/na/es/home.html" hreflang="es">Español</a> </li> <li> <a hreflang="zh_cn">中文</a> </li> <li> <a href="https://hanita.averydennison.com/na/zh/home.html" hreflang="x-default">中文</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Inks</span> <ul class="sectionLanguage bodyTextB7"> <li>North America<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://inks.averydennison.com/en/home.html" hreflang="x-default">English</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Label & Packaging Materials</span> <ul class="sectionLanguage bodyTextB7 topList"> <li>Europe<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://label.averydennison.com/eu/en/home.html" hreflang="en-gb">English</a> </li> </ul> </span> </div> </li> <li>North America<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://label.averydennison.com/na/en/home.html" hreflang="en-us">English</a> </li> </ul> </span> </div> </li> </ul> <ul class="sectionLanguage bodyTextB7"> <li>Latin America<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://label.averydennison.com/sa/br/home.html" hreflang="pt-br">Brasil e Paraguai — Brasil e Paraguai (Português)</a> </li> <li> <a href="https://label.averydennison.com/sa/ar/home.html" hreflang="es-ar">Argentina y Uruguay</a> </li> <li> <a 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class="languages"> <ul> <li> <a href="https://www.my-muse.com/en/home.html" hreflang="en_us">English</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Personal Care</span> <ul class="sectionLanguage bodyTextB7"> <li>Asia Pacific<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://personalcare.averydennison.com/zh/home.html" hreflang="zh_cn">中文</a> </li> </ul> </span> </div> </li> <li>Global<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://personalcare.averydennison.com/en/home.html" hreflang="x-default">English</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Performance Polymers</span> <ul class="sectionLanguage bodyTextB7"> <li>Global<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://performancepolymers.averydennison.com/en/home.html" hreflang="en">English</a> </li> </ul> </span> </div> </li> <li>Europe<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://performancepolymers.averydennison.com/de/home.html" hreflang="en">Deutsch</a> </li> <li> <a href="https://performancepolymers.averydennison.com/it/home.html" hreflang="en">Italiano</a> </li> <li> <a href="https://performancepolymers.averydennison.com/fr/home.html" hreflang="en">Français</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Performance Tapes</span> <ul class="sectionLanguage bodyTextB7"> <li>Global<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://tapes.averydennison.com/na/en/home.html" hreflang="en">English</a> </li> </ul> </span> </div> </li> <li>Europe<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://tapes.averydennison.com/eu/en/home.html" hreflang="en">English</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Apparel Solutions</span> <ul class="sectionLanguage bodyTextB7 topList"> <li>North America<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://apparelsolutions.averydennison.com/en/home.html" hreflang="en_us">English</a> </li> </ul> </span> </div> </li> <li>Asia Pacific<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://apparelsolutions.averydennison.com/zh/home.html" hreflang="zh_cn"> 中文</a> </li> </ul> </span> </div> </li> </ul> <ul class="sectionLanguage bodyTextB7"> <li>newness<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="/content/rbis/newness/en/newness.html" hreflang="x-default">Newness</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>RFID</span> <ul class="sectionLanguage bodyTextB7 topList"> <li>Global<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://rfid.averydennison.com/en/home.html" hreflang="x-default">English</a> </li> </ul> </span> </div> </li> <li>Europe<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://rfid.averydennison.com/fr/home.html" hreflang="x-default">Français</a> </li> </ul> </span> </div> </li> </ul> <ul class="sectionLanguage bodyTextB7"> <li>Asia Pacific<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://rfid.averydennison.com/jp/home.html" hreflang="x-default">Japanese</a> </li> <li> <a href="https://rfid.averydennison.com/zh/home.html" hreflang="x-default">Chinese</a> </li> <li> <a href="https://rfid.averydennison.com/ko/home.html" hreflang="x-default">Korean</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Yongle</span> <ul class="sectionLanguage bodyTextB7"> <li>Global<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://yongletape.averydennison.com/en/home.html" hreflang="x-default">English</a> </li> </ul> </span> </div> </li> <li>Asia Pacific<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://yongletape.averydennison.com/zh/home.html" hreflang="x-default">简体中文</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Identification Solutions</span> <ul class="sectionLanguage bodyTextB7"> <li>North America<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://identificationsolutions.averydennison.com/en/home.html" hreflang="en_gb">English</a> </li> </ul> </span> </div> </li> <li>Europe<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://identificationsolutions.averydennison.com/de/home.html" hreflang="de">Germany</a> </li> <li> <a href="https://identificationsolutions.averydennison.com/fr/home.html" hreflang="fr">Français</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Mactac</span> <ul class="sectionLanguage bodyTextB7"> <li>EMENA<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://www.mactacgraphics.eu/english/home.html" hreflang="x-default">EU-English</a> </li> <li> <a href="https://www.mactacgraphics.eu/es/home.html" hreflang="es">EU - Español</a> </li> <li> <a href="https://www.mactacgraphics.eu/fr/home.html" hreflang="fr">EU - Français</a> </li> <li> <a href="https://www.mactacgraphics.eu/de/home.html" hreflang="x-default">EU - Deutsch</a> </li> <li> <a href="https://www.mactacgraphics.eu/it/home.html" hreflang="x-default">EU - Italiano</a> </li> </ul> </span> </div> </li> <li>Asia Pacific<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://www.mactacgraphics.eu/apac_en/home.html" hreflang="x-default">English</a> </li> </ul> </span> </div> </li> </ul> </li> <li> <span>Electrified</span> <ul class="sectionLanguage bodyTextB7"> <li>North America<span></span> <div class="languageBox"> <span class="smallPointer_arrow"></span> <span class="languages"> <ul> <li> <a href="https://electrified.averydennison.com/en/home.html" hreflang="x-default">English</a> </li> </ul> </span> </div> </li> </ul> </li> </ul> <div style="clear:both;"></div> </div> </div> <div class="topNav buHeader"> <div class="searchIcon lpm-search-lg"> <img class="modal-header-close" src="/etc.clientlibs/avery-lpm/clientlibs/lpm/resources/img/icons/lpm-search-bicon.png"> </div> <div class="searchIcon-modal modal-dialog vertical-align-center" role="document"> <div class="modal-content"> <div class="modal-header"> <div class="modal-header-title"> <form method="get" action="/en/home/search-page.html" id="headersearch"> <input type="text" name="q" placeholder="Search" /> <input type="hidden" name="_charset_" value="UTF-8"/> </form> </div> <img class="modal-header-close" src="/etc.clientlibs/avery-lpm/clientlibs/lpm/resources/img/icons/closeIcon.png" align="right"> </div> </div> <!-- close .modal-content --> </div> <!-- close .modal-dialog --> <div class="mainNav"> <div class="logo"> <a href="/en/home.html"> <img src="/content/dam/averydennison/lpm-responsive/na/images/top%20level%20nav/avery-dennison-logo-red-rgb.png" alt="Avery Dennison logo" title=""> </a> </div> <!-- edit test --> <ul class="navLinks"> <li> <div class="navmenu"> <!-- rendering menu --> <a href="/en/home/products.html" class="navLink ">Products</a> <div class="mainNavDropContainer"> <div class="mainNavDrop"> <ul> <li><a href="/en/home/products/retroreflective-sheeting.html">Retroreflective Sheeting<span class=""></span></a></li> <li><a href="/en/home/products/overlay-films.html">Overlay Films<span class=""></span></a></li> <li><a href="/en/home/products/trafficjet.html">TrafficJet Print System<span class=""></span></a></li> </ul> </div> <div class="shadow"> </div> </div></div> </li> <li> <div class="navmenu_ede5 navmenu"> <!-- rendering menu --> <a href="/en/home/people.html" class="navLink ">People</a> <div class="mainNavDropContainer"> <div class="mainNavDrop"> <ul> <li><a href="/en/home/people/leadership.html">Our Leadership<span class=""></span></a></li> <li><a href="/en/home/people/partners.html">Our Partners<span class=""></span></a></li> <li><a href="/en/home/people/communities.html">Our Communities<span class=""></span></a></li> </ul> </div> <div class="shadow"> </div> </div></div> </li> <li> <div class="navmenu_1 navmenu"> <!-- rendering menu --> <a href="/en/home/purpose.html" class="navLink ">Purpose</a> <div class="mainNavDropContainer"> <div class="mainNavDrop"> <ul> <li><a href="/en/home/purpose/history-values.html">Our History + Values<span class=""></span></a></li> <li><a href="/en/home/purpose/innovation.html">Innovation<span class=""></span></a></li> <li><a href="/en/home/purpose/sustainability.html">Sustainability<span class=""></span></a></li> <li><a href="/en/home/purpose/diversity-inclusion.html">Diversity + Inclusion<span class=""></span></a></li> <li><a href="/en/home/purpose/safety.html">Safety<span class=""></span></a></li> </ul> </div> <div class="shadow"> </div> </div></div> </li> <li> <div class="navmenu_1426961578 navmenu"> <!-- rendering menu --> <a href="/en/home/learn.html" class="navLink ">Learn</a> <div class="mainNavDropContainer"> <div class="mainNavDrop"> <ul> <li><a href="/en/home/learn/learn-sheeting.html">The Science of Sheeting<span class=""></span></a></li> </ul> </div> <div class="shadow"> </div> </div></div> </li> </ul> </div> </div> </div> </div> </div> </div> <div class="avd"><div class="responsive-header graphics search-menu"> <nav class="navbar "> <div class="container-fluid"> <div class="navbar-header"> <button type="button" class="navbar-toggle collapsed avd-navbar" data-toggle="collapse" data-target="#avd-navbar-collapse" aria-expanded="false"> <i class="material-icons">menu</i> </button> <div class="logo col-xs-6"> <a href="/en/home.html"> <img src="/content/dam/averydennison/lpm-responsive/na/images/top%20level%20nav/avery-dennison-logo-red-rgb.png" alt="Avery Dennison logo"/> </a> </div> </div> </div><!-- /.container-fluid --> </nav> <div class="collapse navbar-collapse dropdown-links" id="avd-navbar-collapse"> <div class="search-bar navbar-collapse dropdown-links"> <ul class="nav navbar-nav"> <li class="search"> <form method="get" action="/en/home/search-page.html" id="headersearchmobile"> <input type="text" name="q" placeholder="Search"/> <input type="hidden" name="_charset_" value="UTF-8"/> <a href="#" class="search-go" onclick="javascript:submitSearch('#headersearchmobile');"> <i class="material-icons">search</i></a> </form> </li> </ul> </div> <ul class="nav navbar-nav"> <li class=" noborder"> <div class="subnavicon subnavtoggle">+</div> <a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/products.html">Products</a> <ul class="subnav"> <li class="noborder"><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/products/retroreflective-sheeting.html">Retroreflective Sheeting</a></li> <li><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/products/overlay-films.html">Overlay Films</a></li> <li><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/products/trafficjet.html">TrafficJet Print System</a></li> </ul> </li> <li> <div class="subnavicon subnavtoggle">+</div> <a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/people.html">People</a> <ul class="subnav"> <li class="noborder"><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/people/leadership.html">Our Leadership</a></li> <li><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/people/partners.html">Our Partners</a></li> <li><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/people/communities.html">Our Communities</a></li> </ul> </li> <li> <div class="subnavicon subnavtoggle">+</div> <a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/purpose.html">Purpose</a> <ul class="subnav"> <li class="noborder"><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/purpose/history-values.html">Our History + Values</a></li> <li><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/purpose/innovation.html">Innovation</a></li> <li><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/purpose/sustainability.html">Sustainability</a></li> <li><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/purpose/diversity-inclusion.html">Diversity + Inclusion</a></li> <li><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/purpose/safety.html">Safety</a></li> </ul> </li> <li> <div class="subnavicon subnavtoggle">+</div> <a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/learn.html">Learn</a> <ul class="subnav"> <li class="noborder"><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/learn/learn-sheeting.html">The Science of Sheeting</a></li> </ul> </li> <li class="redlinks"> <a>Customer Tools</a> <div class="subnavtoggle subnavicon">+</div> <ul class="subnav"> <li class=" noborder"> <a href="/en/home/customer-tools/product-data-bulletins.html" onclick="javascript:ga('send', 'event', 'Referral link', 'click','');">Product Data Bulletins</a> </li> <li> <a href="/en/home/customer-tools/instructional-bulletins.html" onclick="javascript:ga('send', 'event', 'Referral link', 'click','');">Instructional Bulletins</a> </li> <li> <a href="/en/home/customer-tools/declaration-of-performance.html" onclick="javascript:ga('send', 'event', 'Referral link', 'click','');">Declaration of Performance</a> </li> <li> <a href="/en/home/customer-tools/safety-data-sheets.html" onclick="javascript:ga('send', 'event', 'Referral link', 'click','');">Safety Data Sheets</a> </li> <li> <a href="/en/home/customer-tools/tech-support-videos.html" onclick="javascript:ga('send', 'event', 'Referral link', 'click','');">Technical Support Videos</a> </li> <li> <a href="/en/home/customer-tools/claims.html" onclick="javascript:ga('send', 'event', 'Referral link', 'click','');">Submit Claim</a> </li> <li> <a href="/en/home/customer-tools/field-service.html" onclick="javascript:ga('send', 'event', 'Referral link', 'click','');">Technical Service Request</a> </li> <li> <a href="https://reflectives.averydennison.com/en/home/customer-tools.html#literature" onclick="javascript:ga('send', 'event', 'Referral link', 'click','');">Regional Brochures</a> </li> </ul> </li> <li class="blacklinks noborder"> <a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/newsroom.html">News</a> </li> <li class="blacklinks"><a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="/en/home/contact-us.html">Contact Us</a> </li> <li class="blacklinks"> <a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="https://www.averydennison.com/en/home/newsroom/avery-dennison-blog/Reflective-Solutions-Blog.html">Blog</a> </li> <li class="blacklinks"> <a onclick="javascript:ga('send', 'event', 'Referral link', 'click','');" href="http://www.investors.averydennison.com">Investors</a> </li> </ul> </div><!-- /.navbar-collapse --> </div> </div> </div> </header> <div class="avd /apps/avery-lpm/templates/content-page"> <!-- page content --> <style> .edge-to-edge { overflow-x: hidden; } </style> <div class="container ihm-full-width"> <script type="text/javascript" src="//ws.sharethis.com/button/buttons.js"></script> <script type="text/javascript"> stLight.options({ publisherGA: '', // TODO: get this publisher: '7489f76f-5fdf-4bac-9fcb-b02e8076b0a7', // TODO change this to AVD onhover: false, doNotHash: true, doNotCopy: true, hashAddressBar: false }); function openEmail() { var myWindow = window.open('https://label.averydennison.com/ap/en_sa/home/contact-us.html' + encodeURIComponent(location.href)); } </script> <style> .node__share { display: block; top: 25%; right: 5px; /* padding: 0 0 0 1190px; */ position: fixed; z-index: 99; } </style> <div class="node__share share"> </div> <!--<a data-sly-test="" href="https://login.microsoftonline.com?status=" target="_blank"><i class="fa fa-envelope"></i></a>--> <!-- parsys would go here --> <div class="column-control parbase"><div> <div class="row"> <div> <div class="avd-column col-xs-12 col-sm-6 col-md-6 lpm-column-transparent "> <div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-b4f9598e-fcc5-43c7-8cc3-05fa79dba654"> <p><span class="lpm-font-24">Technical Service Request Submission</span></p> </div> </div> </div> </div> <div class="avd-column col-xs-12 col-sm-6 col-md-6 lpm-column-transparent "> <div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-ff65d92f-5623-49a0-bab8-02cfde8edc92"> <style> .avd .text 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font-size: px; line-height: px; letter-spacing: inherit; } .avd .text .lpm-text-wrapper-ff65d92f-5623-49a0-bab8-02cfde8edc92 h5 { font-size: px; line-height: px; letter-spacing: inherit; } .avd .text .lpm-text-wrapper-ff65d92f-5623-49a0-bab8-02cfde8edc92 h6 { font-size: px; line-height: px; letter-spacing: inherit; } .avd .text .lpm-text-wrapper-ff65d92f-5623-49a0-bab8-02cfde8edc92 p, .avd .text .lpm-text-wrapper-ff65d92f-5623-49a0-bab8-02cfde8edc92 blockquote { font-size: 20px; font-family: inherit; line-height: 25px; letter-spacing: inherit; } .avd .text .lpm-text-wrapper-ff65d92f-5623-49a0-bab8-02cfde8edc92 ul li, .avd .text .lpm-text-wrapper-ff65d92f-5623-49a0-bab8-02cfde8edc92 ol li { font-size: px; font-family: inherit; line-height: px; letter-spacing: inherit; } </style> <p><span class="lpm-font-20">Please submit your inquiry directly to us via this form. The Avery Dennison Reflective Tech Service Department will get in touch with you to help resolve your inquiry.<br /> </span></p> </div> </div> </div> </div> </div> </div> </div> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-c71c1290-6dc8-4d76-a2f9-30095e28dd21"> <hr style="border-top: 1.0px solid black;" /> </div> </div> <div class="html parbase"> </div> <div class="contact form parbase"><style> .manualInput { display: none; } </style> <form onsubmit="spamOnsubmitFilter()" id="spamFilterID" class="avd-form" method="POST" action="https://www.averydennison.com/bin/services/contacts" data-submit-ajax="false" data-redirect="true"> <input type="hidden" name="retURL" value="https://reflectives.averydennison.com/en/home/customer-tools/field-service/thank-you.html"/> <input type="text" name="a9f7da6afdaooadu" id="a9f7da6afdaooadu" class="manualInput" oninput="spamFilter()"/> <input type="hidden" id="custId" name="custId" value="+4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh+aHR0cHM6Ly9hdmVyeWRlbm5pc29uLm15LnNhbGVzZm9yY2UuY29tL3NlcnZsZXQvc2VydmxldC5XZWJUb0Nhc2U/ZW5jb2Rpbmc9VVRGLTg="/> <div class="hidden"><input id="new_form_orgid" name="orgid" value="00DU0000000H5Cv" type="hidden"> </div> <div class="hidden"><input id="new_form_external" name="external" value="1" type="hidden"> </div> <div class="hidden"><input id="new_form_recordType" name="recordType" value="0120B000000oZd3" type="hidden"> </div> <div class="hidden"><input id="new_form_origin" name="origin" value="Web" type="hidden"> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-eb6e8d11-ee9d-465a-a3b7-3a225c57aa19"> <p><b>Account Information</b></p> </div> </div> <div class="html parbase"> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-9b41c28a-369b-475c-ab89-98c0b9aebb66"> <p>Customer Name/Company Account #</p> </div> </div> <div class="textfield parbase"> <input type="text" name="company" class="form-control required" placeholder="Customer Name/Company Account #" data-msg="* [ Customer Name/Company Account # ] is required" required="true"/> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-34cfa382-1554-431b-817b-ec50bdd643e7"> <p>Contact Name</p> </div> </div> <div class="textfield parbase"> <input type="text" name="name" class="form-control required" placeholder="Contact Name" data-msg="* [ Contact Name ] is required" required="true"/> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-33c62ca3-248d-4125-9cc6-3de2ab433cf5"> <p><b>Address</b></p> </div> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-a3ac555c-2a82-46a5-aa17-a5aadf2c49e7"> <p>Street, City, State, Zip, Country</p> </div> </div> <div class="textarea parbase"> <textarea name="00N0B000006B8KN" rows="5" placeholder="Street, City, State, Zip, Country" class="form-control required" data-msg="* [ Street, City, State, Zip, Country ] is required" required="true"></textarea> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-11eb7c59-71c0-4c98-99aa-5b41b6c70808"> <p>Email</p> </div> </div> <div class="textfield parbase"> <input type="email" name="email" class="form-control required" placeholder="Email" data-msg="* [ Email ] is required"/> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-53d52576-8711-4022-86cc-bd691ffce2bc"> <p>Phone</p> </div> </div> <div class="textfield parbase"> <input type="text" name="phone" class="form-control " placeholder="Phone"/> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-7a338ad1-fa5d-4316-b7d5-38e14b985b0c"> <p><b>Inquiry Information</b></p> </div> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-76f9994f-170e-4544-b28f-ae17bd881882"> <p>Description of Inquiry</p> </div> </div> <div class="textarea parbase"> <textarea name="description" rows="5" placeholder="Description of Inquiry" class="form-control required" data-msg="* [ Description of Inquiry ] is required" required="true"></textarea> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-1536402c-cdfe-4d77-ba52-197a385da9f8"> <p>Reflective Product Line</p> </div> </div> <div class="dropdown parbase"><div class="dropdown-control "> <div class="btn form-control required dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false" data-placeholder="Reflective Product Line" tabindex="0"> <span>Reflective Product Line</span> </div> <span class="field-required">*</span> <input type="text" name="00N0B000006KfPp" class="form-control dropdown-hidden-text-field" value="" autocomplete="off" data-msg="* [ Reflective Product Line ] is required" placeholder="Reflective Product Line" required="true"/> <i class="fa fa-angle-down" aria-hidden="true"></i> <ul class="dropdown-menu"> <li data-value="Conspicuity Tape">Conspicuity Tape</li> <li data-value="License Plates">License Plates</li> <li data-value="Personal Safety & Fleet">Personal Safety & Fleet</li> <li data-value="Traffic">Traffic</li> <li data-value="TrafficJet">TrafficJet</li> <li data-value="Work Zone">Work Zone</li> </ul> </div> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-cd202172-7ab6-4457-8a36-11f62bf1749f"> <p>TrafficJet Serial Number (for TrafficJet related inquiries)</p> </div> </div> <div class="textfield parbase"> <input type="text" name="00N0B000006KfPu" class="form-control " placeholder="TrafficJet Serial Number (for TrafficJet related inquiries)"/> </div> <div class="google-recaptcha"><div class="row"> <div class="col-md-12"> <div id="response-div" style="color:red; font-weight: bold;"></div> <script src='https://www.google.com/recaptcha/api.js?onload=reCaptchaCallback&render=explicit' async defer></script> <div id="rcaptcha" class="g-recaptcha" data-sitekey="6Lcyo6oUAAAAAHaVOU5Lni9Jpt9UyEfRzJ-KHi5F"></div> <input type="hidden" value="true" id="recaptchaRequired" name="recaptchaRequired"/> </div> </div> <script> var RC2KEY = '6Lcyo6oUAAAAAHaVOU5Lni9Jpt9UyEfRzJ-KHi5F'; var doSubmit = false; function reCaptchaVerify(response) { if (response === document.querySelector('.g-recaptcha-response').value) { doSubmit = true; } } function reCaptchaExpired () { /* do something when it expires */ } function reCaptchaCallback () { grecaptcha.render('rcaptcha', { 'sitekey': RC2KEY, 'callback': reCaptchaVerify, 'expired-callback': reCaptchaExpired }); } </script> </div> <div class="submit button parbase"> <input type="submit" class="btn large " value="Submit" onclick="ga('send', 'event', 'Subscription Form', 'Submit', 'Submit Form');"/> </div> <div class="text parbase"> <div class="rte-text-p rte-text-p-199b1f54-0d7f-445b-bb9b-962a6cd99e2b"> <p><b>Please only click Submit ONCE. You may experience a slight delay in response.</b></p> </div> </div> <div class="html parbase"> </div> <div class="html parbase"> </div> </form> <div id="option-submit" class="hidden" data-submit-ajax="false"></div> <p id="SPAMFILTER"></p> <script> function spamFilter() { var x = document.getElementById("a9f7da6afdaooadu").value; document.getElementById("SPAMFILTER").innerHTML = "SPAMFILTER REDIRECT " + x; window.location.replace("https://www.averydennison.com/bin/services/contacts"); } </script> <script> function spamOnsubmitFilter() { var email = $("#custId").val(); email = email.replace('+4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh4Hhub7TPfDe9RpRh+',''); email = atob(email); var frm = document.querySelector('form.avd-form') || null; if(frm) { frm.action = email } } </script> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-3e0b61d1-41e8-4308-af0f-610f6cf0bed4"> <hr style="border-top: 1.0px solid black;" /> </div> </div> <div class="text parbase"> <div class="option-styles lpm-text-wrapper-aad85b72-a15b-4705-bb9d-66f8650bf713"> <p>The information you provide on this Field Service Submission page will be used to respond to your inquiries and as further described in our <a href="/en/home/privacy-statement.html">Internet Privacy Policy.</a><br /> </p> <p>Please be aware that this information (including the original and the subsequent reply) may be transferred to a server located in the U.S. for metrics and storage. If you do not consent to this use of your personal information, please do not use the Technical Service Request Submission system.</p> </div> </div> <div class="text parbase"> <div class="rte-text-p rte-text-p-61531ce7-8191-453e-baea-ac0016765072"> <p>Last Revised: 17 July, 2018</p> </div> </div> </div> <!-- close .container --> <footer class="footer-redesign"> <div class="container"> <div class="row"> <div class="footer parbase"> <style> .avd footer.footer-redesign { letter-spacing: calc(*0.001em) } </style> <div class="logo-links col-xs-12"> <div class="col-sm-6 col-md-6 footer-logo-container"> <div class="logo"> <a href="/en/home.html"> <img src="/content/dam/footer-logos/reflectives/making-possible-website-footer-red.png"/> </a> </div> </div> <div class="col-sm-6 col-md-6 footer-links-container"> <ul class="footer-links"> <li> <a href="https://www.averydennison.com/content/corp/na/en/home.html" target="_blank"> <span style=" font-size: px; line-height: px"> AveryDennison.com </span> </a> </li> <li> <a href="http://www.averydennison.com/en/home/careers.html" target="_blank"> <span style=" font-size: px; 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