SPECIFICATION FORM FOR SWEEPERS

PLEASE SPECIFIY THE FOLLOWING TO ENABLE US TO TAILOR OUR OFFER TO YOUR NEEDS.

NAME OF COMPANY:
ADRESS:
TELEPHONE:
EMAIL ADDRESS:
NAME OF CONTACT PERSON:
TITLE:
LINE OF BUSINESS:

TECHNICAL DATA NEEDED FOR RECOMMENDATION




1. TYPE OF SURFACE: 		(A) CONCRETE (B) CEMENT
(C) PARQUET
(D) VINYL
(E) CERAMIC

2. SIZE OF SURFACE: 		(A) SMALL (B) BIG

3. POWER SOURCE: 		(A) ELECTRIC (B) MANUAL
4. DATE OF REQUEST: