Customer Inquiry Form
We welcome your inquiry. Please take a moment to complete the form below and click Submit Inquiry.


Surface or Type of Tile


Ceramic   Terrazzo
Quarry   Marble
Slate   Bathtub 
If Other, Please Specify:


Type of Application


Restaurant     Commercial Office Building
Health Care (Hospital, Managed Care, etc.)     Bath/showers/pool/spa
School     Janitorial/Safety
Municipality     Government
Food Processing     Residential/Home


Type and Amount of Traffic


Amount of Traffic:
  Heavy     Medium     Light

Type of Traffic:
  Foot     Motorized     Wheelchairs


Describe Your Problem


Please describe your existing condition/problem.
(Employees or customers slipping, falling)


Your Contact Information


Your Name*

Home Phone

E-mail Address


Business Phone (and extension)*