FASTTRACK

ORDER FORM

FAX TO OUR SALES DEPARTMENT
Attn: Shelly Baynham (Tel: 0121 745 0824)
Fax no: 0121 745 0888

Amtico Reference Number: *	Account Number:	
Company Name:		Contact Name:	
Delivery Address:

Post Code:	Phone Number:		
	Fax Number:			
	Installation Date:	
	Required Delivery Date:
(Dependent on lead dates)	
Purchase Order Number:	Residential:			Commercial:		
Product	Quantity	Product	Quantity	
W682WEU-WB-B White Maple Tick Finish 3" x 36"		GL01SMU-PP-B Iced Glass 12" x 12"		
W705WEU-WB-B American Oak Tick Finish 3" x 36"		GL019SMU-PP-B Ocean Glass 12" x 12"		
W705WZN-WB-B American Oak Sawn Finish 3" x 36"		HS83STU-PP-B Honister Slate 12" x 12"		
W719WEU-WG-B Antique Wood Tick Finish 4½" x 36"		HS83STU-SP-B Honister Slate 12" x 18"		
W719WZN-WG-B Antique Wood Sawn Finish 4½" x 36"		LK14STU-SP-B Limestone 12" x 18"		
W720WEU-WG-B Priory Oak Tick Finish 4½" x 36"		SD14STU-PP-B Sandstone Light 12" x 12"		
		SD14STU-SP-B Sandstone Light 12" x 18"		
		SL34FLN-PP-B African Slate 12" x 12"		
Stripping	Quantity	Stripping	Quantity	
CN30Q Concrete Pale ¼" x 36"		CN30Q Concrete Pale ⅛" x 36"		
CN34Q Concrete Medium ¼" x 36"		MP38E Silver ⅛" x 36"		
MP38E Silver ¼" x 36"		MP78E Gold ⅛" x 36"		
MP78E Gold ¼" x 36"		SD14 Sandstone Light  ⅛" x 36"		
GL00 Smooth Iced Glass ¼" x 36"		SD44 Sandstone Dark ⅛" x 36"		
GL009 Smooth Ocean Glass ¼" x 36"				
Adhesive:		Quantity:	Units:

Universal		………..	Kg

SFA		………..	Litres	Maintenance	Products:	Quantity:	Units:
Maintenance Pack		………..	(max 1 per order)
Dressing		………..	Litres/Boxes - (12 bottles)
Cleaner		………..	Litres/Boxes - (12 bottles)
Adhesive Remover		………..	Litres/Boxes - (12 bottles)
Felt Pads		………..	Per pack
Trowel (Handle)		………..	Each
Trowel Blades		………..	Per pack of 10	
Signature:	Date:	
*	For office use only