Name | _______________________________________ |
Street | _______________________________________ |
City | _______________________________________ |
State | _______________________________________ |
Zip | _______________________________________ |
Telephone | _______________________________________ |
| |
Design Selections | |
Product | Lam SSV Gib |
Color | _______________________________________ |
Edge treatment | _______________________________________ |
Inlay Color (optional) | _______________________________________ |
Backsplash | _______________________Height___________ |
Splash Joint | _________Cove _________Square___________ |
Windowsill | _______________________________________ |
Wilsonart Sink | _______________________________________ |
Model No. | _________Color _________Quantity_________ |
Cutouts | _________Cooktop _______Sinks___________ |
| |
Store | _______________________________________ |
Store Telephone | _______________________________________ |
Salesperson | _______________________________________ |
Purchase Order Number | _______________________________________ |
| |
Estimated Cost (To be completed by salesperson) | |
