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return checkMandatory()' accept-charset='UTF-8'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='xnQsjsdp' value='3d248d929b18ea2bffc60082c764f64ee95ca28d7b6fe58773e433d9f0fde91d'/><!-- [et_pb_line_break_holder] --> <input type='hidden' name='zc_gad' id='zc_gad' value=''/><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='xmIwtLD' value='eee40ea039a12106f8ca8ad9453c1ca8617651952feb71d96c7bdca728c5f734'/><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='actionType' value='Q29udGFjdHM='/><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='returnURL' value='https://www.schweitzerformula.com/thank-you/' /> <!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' id='ldeskuid' name='ldeskuid'></input><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' id='LDTuvid' name='LDTuvid'></input><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <style><!-- [et_pb_line_break_holder] --> tr , td { <!-- [et_pb_line_break_holder] --> padding:6px;<!-- [et_pb_line_break_holder] --> border-spacing:0px;<!-- [et_pb_line_break_holder] --> border-width:0px;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> </style><!-- [et_pb_line_break_holder] --> <table style='width:600px;background-color:white;color:black'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td colspan='2' style='text-align:left;color:black;font-family:Arial;font-size:14px;'><strong>Leave Us A Message</strong></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>First Name<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='40' name='First Name' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Last Name<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='80' name='Last Name' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Email<span style='color:red;'>*</span></td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='100' name='Email' /></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Write us a message<span style='color:red;'>*</span> </td><td> <textarea name='Description' maxlength='32000' style='width:250px;'> </textarea></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td style='nowrap:nowrap;text-align:left;font-size:12px;font-family:Arial;width:200px;'>Enter the Captcha</td><!-- [et_pb_line_break_holder] --> <td><input type='text' style='width:250px;' maxlength='80' name='enterdigest' /></td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td></td><!-- [et_pb_line_break_holder] --> <!-- Do not remove this code. --><!-- [et_pb_line_break_holder] --> <td><img id='imgid' src='https://crm.zoho.com/crm/CaptchaServlet?formId=eee40ea039a12106f8ca8ad9453c1ca8617651952feb71d96c7bdca728c5f734&grpid=3d248d929b18ea2bffc60082c764f64ee95ca28d7b6fe58773e433d9f0fde91d'><!-- [et_pb_line_break_holder] --> <a href='javascript:;' onclick='reloadImg()'>Reload</a></td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <tr><td colspan='2' style='text-align:center; 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Email | Phone | Contact Form | Chat Box (coming back soon)

Our Location

Williamsport , PA 17701

Phone

+1 570-360-91887
888-630-8837
ANNOUNCEMENT: We have encountered a supply chain disruption. We are virtually out of stock of all Schweitzer Formula products. The latest estimate is end of May to be restocked. Stay tuned for updates.
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