[Company Name]

[Address, City, ST ZIP Code]

[Telephone] | [Fax] | [Web Address]

Fax

To:	[Name]	From:	[Your Name]
Fax:	[Fax Number]	Pages:	[Number of Pages]
Phone:	[Recipient Telephone]	Date:	[Select Date]
Re:	[Subject]	Cc:	[Name]

☐ Urgent	☐ For review	☐ Please comment	☐ Please reply	☐ Please recycle

Comments: [Start text here.]