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Flooring Registered Opportunity

Step 1: Representative Information

Name:
Firm:
Telephone:
Email:

Step 2: Reseller/Installer Information (if involved)

Company:
Contact:
Address:
City:
State:
Zip:
Telephone:
Fax:
E-mail:

Step 3: Customer Information

Company:
Contact:
Address:
City:
State:
Zip:
Telephone:
Fax:
E-mail:

Step 4: Opportunity Information

Floor Type:
Square Footage:
Project Completion Date Target:
SCS Qualification Questionnaire sent to customer:

Step 5: Competitor Information

Competitor Name:
Competitor Part No.:
Competitor Price:
Competitor Website:

Step 6: Notes

Notes:

Step 7: Submit