Global Flooring E-mail Response Form:

E-mail / fax / mail response form

I would like Global flooring to contact me further on:

Please E-mail / Fax me my FREE ONLINE Quote:

Please phone my to arrange me in home measure & quotation:

Please call me @ ________am/pm on _________________________2001

or

I estimate my total flooring area to be: ________________________ mtr²’s

My Preferred timber is to be: ______________________________________

Customer Information:

Name: ____________________________________________________

Position: _______________________

Company: _________________________________________________

Address: __________________________________________________

                __________________________________________________

                __________________________________________________

Suburb: ________________________  Post Code: ________________ 

Phone: _____________________________ Fax: ________________________________

Mobile: _____________________________ E-mail: ______________________________