First Name: |
|
Last Name: |
|
Company Name: |
|
Title or Position: |
|
Address: |
|
City: |
|
State: |
|
Zip: |
|
Phone: |
|
E-mail address: |
|
Preferred method of contact : |
|
|
|
How did you hear about us? |
|
residential or commercial: |
|
Nature
of this request: |
|
Timeliness
of this request: |
|
|
|
The items
below will give us the number of pieces as well as the work to be done.
The more
info you give us, the more accurate your quote will be. |
# of lounges: |
|
type of lounges: |
|
work to be done: |
|
comment: |
|
|
|
# of chairs: |
|
type of chairs: |
|
work to be done: |
|
comment: |
|
|
|
# of tables: |
|
size of table tops: |
|
type of table tops: |
|
work to be done: |
|
comment: |
|
|
|
# of umbrellas: |
|
type of umbrella: |
|
size of umbrella: |
|
type of ribs: |
|
crank or push-up: |
|
type of pole: |
|
umbrella base: |
|
comment: |
|
|
|
any
other item to be quoted: |
|
|
|
Please include any comments or
questions: |
|
|
|
type FUN in the block
to
the right. (ALL CAPS): |
to help us avoid spam |