INFORMATION REQUEST MODULE
for a price offer and free samples, check the following entries:
(click send when finised)
 
Name:
Company:
Address:
City:
ZIP:
Phone:
Fax:
E-Mail:
 
PREMISES:

School Swimming-pool Gym Hospital
Home for the aged Industrial plant Residential house
Other 
Address: 
 
AREA:

Pool-deck Lockers Bathrooms Stair-case
Kitchen Corridor
Other

 
TILES:

Glazed Unglazed Polished Ceramic Cotto
Granite Marble, matt Marble, glossy
Other 

 
Total square meters: 
( for bathrooms, lockers, kitchen, indicate gross internal area )
( for areas with stairs & even floor, indicate area of each )
 
Preferred period for installation: 

 
ANY COMMENT?