| Date | ______________________________________________________ |
| Name | ______________________________________________________ |
| Company | ______________________________________________________ |
| Address | ______________________________________________________ |
| . | ______________________________________________________ |
| Telephone | ______________________________________________________ |
| Fax | ______________________________________________________ |
| ______________________________________________________ |
| Please tick below: | |
| Please post me a Luxtrade Luxgrille brochure. | |
| Please call me to discuss specification and price. | |
| Please give your best price and delivery on the following product(s): | |
| Product |
Quantity required
|
|
| ._______________________________ | ._____________________________ | |
| ._______________________________ | ._____________________________ | |
| ._____________________________ | ||
| ._______________________________ | ._____________________________ | |
| Finish: | Self colour | |
| . | Galvanised | |
| . | Other.____________________ | |
| Alternatively, give details below (including use): | ||