SIMPLY AMTICO

ORDER FORM
FAX TO OUR SALES DEPARTMENT
Attn: Shelly Baynham(Tel: 0121 745 0824)
Fax no: 0121 745 0888
e-mail shelly.baynham@amtico.com 
Company Name:		Amtico Reference Number: *	
Delivery Address:

Post Code:		Account Number:		
	Phone Number:		
	Fax Number:		
	Installation Date:	
	Delivery Date: *	
Purchase Order Number:	Residential:			Commercial:		
Product
Only available in full boxes which each contains 3 sq.yds (approx  2.5 sq.m) of product	No of Boxes	Stripping
Only available in packs of 36 strips	No of Packs	
BOX599WEU-WB-B Washed Teak 3" x 36"		PACK-STRIP-WO CN30Q Concrete Pale ⅛" x 36"		
BOX684WEU-WB-B Maple 3" x 36"		PACK-STRIP-WO CN34Q Concrete Medium ⅛" x 36"		
BOX697WEU-WB-B Weathered Elm 3" x 36"		PACK-STRIP-WO MP18E Bronze ⅛" x 36"		
BOX698WEU-WB-B Elm 3" x 36"		PACK-STRIP-WO MP19E Copper ⅛" x 36"		
BOX699WEU-WB-B Teak 3" x 36"		PACK-STRIP-WO MP38E Silver ⅛" x 36"		
BOX705WEU-WB-B American Oak 3" x 36"		PACK-STRIP-WO MP78E Gold ⅛" x 36"		
BOX706WEU-WB-B Light Cherry 3" x 36"		PACK-STRIP-WO SD14 Sandstone Light ⅛" x 36"		
BOX793WEU-WB-B Warm Beech 3" x 36"		PACK-STRIP-WO SD44 Sandstone Dark ⅛" x 36"		
BOXLK14DSU-PP-B Limestone 12" x 12"		PACK-STRIP-WX W701E Black Walnut Cross Grain ⅛" x 36"		
BOXLJ47DSU-PP-B Limestone Cotswold 12" x 12"		PACK-STRIP-WX W703E Mahogany Cross Grain ⅛" x 36"		
BOXOL21FLN-PP-B Oriental Slate Lead 12" x 12"				
BOXOL27FLN-PP-B Oriental Slate Brown 12" x 12"				
BOXSN36CTN-PP-B Norwegian Slate 12" x 12"				
BOXSL72FLN-PP-B Firestone Slate 12" x 12"				
TOTAL NUMBER OF BOXES		Border Name & Code		
Border:	A		B		C		D		E		
No. of Borders:		No of Corners:		No of Angled Corners:		
Adhesive:		Quantity:	Units:

Universal		………..	Kg

SFA		………..	Litres	Maintenance	Products:	Quantity:	Units:
Maintenance Pack		………..	(max 1 per order)
Dressing		………..	Litres/Boxes - (12 bottles)
Dressing Remover		………..	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