Request for Information


*Your Information ...*
Name:			Position:
Organization:			Phone:
Address 1:			FAX:
Address 2:			E-mail:
City, State, ZIP:				Please, include E-mail address; it is not forwarded with this form automatically.
*Estimating & Pricing ...* Please, describe your project below, and we will send you a quote or contact you for further information.
*Literature ...* We will send the literature you request below.
	Tate Access Floors Brochure/Catalog			Nevamar & Formica Brochure
	High Pressure Laminate brochure			Carpet Tile Catalog
*Samples & Cut Sheets ...* We will send the Samples/Cut Sheets you request below.
Carpet	Carpet Tile	HPL Chips
Other:
*Services & Accessories ...* You may order services and accessories, if you have established credit with us and are familiar with our products and services.
Purchase Order #:
Cable Cutouts:
Grommets:
Hand Rails:
Ramps:
Miscellaneous Accessories:

For Tate Access Flooring, contact Larry Gibson or Garry Reck.

Ceilings and Partitions, Inc. is an authorized dealer of Tate Access Floors, Inc.