Sample Request – Routered Doors & Accessories

Routered Doors & Accessories Sample Request Form

Please fill out this form to place a customers sample request for Routered Doors & Accessories - please contact nathanrizk@tesrol.com.au with any issues regarding this form.

Customer Details

Customer: *

Lead Contact: *

First

Last

Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

400mm x 290mm Sample Door Request

Number of Samples Door(s) Required:

One
Two
Three
Four

Door One - Design:

Door One - Edge Profile:

Door One - Thickness Required:

Door Two - Design:

Door Two - Edge Profile:

Door Two - Thickness Required:

Door Three - Design:

Door Three - Edge Profile:

Door Three - Thickness Required:

Door Four - Design:

Door Four - Edge Profile:

Door Four - Thickness Required:

Sample(s) Required By:

Accessories

Raw Capping Required: (1 qty x 300mm piece)

Raw Skirting Required: (1 qty x 300mm piece)

SK 1
SK 2
SK 3
SK 4

Does the Capping or Skirting need to be larger than 300mm? If so, this may incur extra charges and is subject to approval.

Yes
No

Does the customer require any of the below? If so, this may incur extra charges and is subject to approval.

Corbels
Columns
Blocks
Fretwork

If they require additional samples, what do they require and why?

Delivery Method

How would the customer like these sample delivered? *

NSW Local: Pick-up from Wetherill Park
VIC Branch: Put on exchange truck
QLD Branch: Send or post out samples
TAS Customer: Post out samples
Newcastle: Send on truck to Ross
Regional Customer: Send or post out samples directly
Other: Please Specify Below

Other Delivery Option? Please indicate how and why.

Sales Representative Details

Requested by: *

First

Last

Email: *

Date of Sample Request: *