POLY-FLEX
QUOTE REQUEST
Your Name:
Your Company Name:
Mailing Address:
City: 
State: 
Zip: 
Country: 
Phone Number:
Fax Number:
E-Mail Address:
Project Name:
Project Application:
Project Engineer:
Project Location: City
State:
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Bid Date:
Date Quotation Required:
Estimated Delivery Date:

GEOMEMBRANE REQUIRED

1.  Material:
  Quantity: Sq. Feet ( Sq. meters )
  Color:  Black  Black/White
  Note:
2.  Material:
  Quantity: Sq. Feet ( Sq. meters )
  Color:  Black  Black/White
  Note:
Please fax/e-mail geomembrane specifications to
972-337-8314 or georgey@poly-flex.com

GEONET/GEOTEXTILE/GEOCOMPOSITE REQUIRED

1. Material:  Geonet Only

 Geotextile Only

 Geocomposite
     (Single Sided)

 Geocomposite
     (Double Sided)
  Quantity: Sq. Feet ( Sq. meters )
2. Material:  Geonet Only

 Geotextile Only

 Geocomposite
     (Single Sided)

 Geocomposite
     (Double Sided)
  Quantity: Sq. Feet ( Sq. meters )
Please fax/e-mail geomembrane specifications to
972-337-8314 or georgey@poly-flex.com

EMBED CHANNEL REQUIRED

Feet ( Meters )

QUESTIONS OR COMMENTS