Luxtrade Industrial Flooring Products Fax Order Sheet
To ensure that we have all the information to process your order quickly, please
make a print-out of this Luxtrade Fax Order Sheet from your browser and fill in as
much product information as you can. Then fax it to us.

Fax to: Luxtrade Limited
Attention: Jayne Cartwright and Adam Carpenter
Fax number: 01902 404 628

Date	______________________________________________________
Name	______________________________________________________
Company	______________________________________________________
Address	______________________________________________________
.	______________________________________________________
Telephone	______________________________________________________
Fax	______________________________________________________
Email	______________________________________________________

Please give your best price and delivery on the following product(s):
Product	Quantity required
._______________________________	._____________________________
._______________________________	._____________________________
	._____________________________
._______________________________	._____________________________
Alternatively, give details below (including use):