REQUEST FOR LAMINATE MEASURE
654 Commerce Drive
P.O. Box 368
Hastings, MN 55033
Business: 651.438.2223
Fax: 651.438.1199 		Measure Date:
Install Date:
Lock Box:
Map Page:
Job Site Address:



Ph#


Bill To:



Ph#


Postform Bullnose Self Edge Wood Edge Wood Bevel Accent Laminate Bevel Edge Modern Edge

Edge Style
Color (number)
Sink Info (cut or model #)
Kitchen

Laundry

1/2 Bath

3/4 Bath

Master

Other

Back Splash

yes no

Range Information:
Free Standing
Slide In
Drop-In
Cooktop



Cut-Out Information is required

Special Instructions:
Please print and mail or fax.
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