Quote & Order

Graphics

Please design some sort of table for them to be able to fill in the following information that can be sent via e-mail to me.

Text

Order / Quote for Lite Step dance floor
  1. Please would you send me the following Lite Step portable dance floor.

    2. m

    X

    m

    OR

    ft

    X

    ft
  2. I have seen the Lite Step portable dance floor? Yes No
  3. I would like a caddy to facilitate moving & storing the Lite Step portable floor ?

YES NO
  1. I am interested in the Lite Step as a ……………….
Portable Floor Permanent Installation
  1. I am you looking to purchase a dance floor? ’98 ’99

    2. Jan

    Feb

    Mar

    Apr

    May

    June

    Jul

    Aug

    Sept

    Oct

    Nov

    Dec

     
  2. Please send me a brochure so I can show the floor to my colleagues
    3. Yes – send me a brochure No – the website answered my questions
  3. I would like some one to call me so I can discuss the Lite Step floor in more detail.
    4. Yes No
  4. This is a request for a
quote for Lite Step floor order for Lite Step floor

Details

(Please design a table in here to allow them to fill in……..

  1. Company Name
  2. Position
  3. Title ie: Mr Ms Miss Mrs Dr etc
  4. Name
  5. Address
  6. State
  7. Postal code
  8. Country
  9. Telephone number (including STD code)
  10. Fax number (including STD code)
  11. Date – with the following format - day: Month in words: Year. ( this is to account for the different format between the US and the rest of the world so there is no confusion.)

(please feel free to move them around so they are easier to read and return via email)