Instructions

1. Print this form.

2. Fill in your Contact Information and Shipping Address.

3. Fill in Width and Depth for each stall.

4. Fax to (409) 840-5545
To:
      AmeraProducts, Inc. - Estimator

Contact Information:

  Name : _________________________________

  Phone : ______________________ Ext. _______

  FAX : __________________________________

  Email : _________________________________

Shipping Address:

  Street : ___________________________________

  City : ____________________________________

  State : _____ Zip : __________

 Type (Circle One):
  • Floor Anchored / Overhead Braced
  • Ceiling Hung
  • Floor Anchored
  • Floor-to-Ceiling Anchored
Material (Circle One):
  • Plastic Laminate
  • Baked Enamel
  • Solid Plastic
  • Phenolic
  • Stainless Steel

Color : ________________________
          (does not apply to stainless steel)

*

 Dimensions shown are for a common bathroom stall size.  In most cases stalls can be made to fit any size or configuration.

(800) 608-6568   www.AmeraProducts.com   info@ameraproducts.com
Copyright © 1999-2006 AmeraProducts, Inc.