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Lot Registration Form

We encourage you to register the "Lot Number" and purchase location of your tile with this form. In the near future you will be sent a satisfaction survey. It is our policy that all information is kept confidential.

 

 

Personal Information (* designates required fields)

 

First name*

MI

Last name*


Phone*

Ext


E-mail*


Address
*



City
*

State/Province
*

Country*

Zip/Postal code*

Lot Number*

Date of Purchase
*

Place of Purchase
*

City of Purchase
(if different)

State of Purchase (if different)

Country of Purchase (if different)

Zip/Postal code of Purchase (if different)

 

Please take a moment to tell us about your purchase:

 

PROJECT:
Kitchen
Bathroom
Other

STONE:
Granite  
Marble  
Limestone

Square Feet    OR   Number of Boxes

Color

Most important factor that
influenced your purchase: