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:
Country:
Bid Date:
Date Quotation Required:
Estimated Delivery Date:
GEOMEMBRANE REQUIRED
1.
Material:
Choose one
HDPE Smooth 30 mil (0.75 mm)
HDPE Smooth 40 mil (1.00 mm)
HDPE Smooth 60 mil (1.50 mm)
HDPE Smooth 80 mil (2.00 mm)
HDPE Smooth 100 mil (2.5 mm)
----------------
HDPE Textured 40 mil (1.00 mm)
HDPE Textured 60 mil (1.50 mm)
HDPE Textured 80 mil (2.00 mm)
HDPE Textured 100 mil (2.50 mm)
----------------
LLDPE Smooth 30 mil (0.75 mm)
LLDPE Smooth 40 mil (1.00 mm)
LLDPE Smooth 60 mil (1.50 mm)
LLDPE Smooth 80 mil (2.00 mm)
----------------
LLDPE Textured 40 mil (1.00 mm)
LLDPE Textured 60 mil (1.50 mm)
LLDPE Textured 80 mil (2.00 mm)
----------------
Other (add description in note below)
Quantity:
Sq. Feet (
Sq. meters )
Color:
Black
Black/White
Note:
2.
Material:
Choose One
HDPE Smooth 30 mil (0.75 mm)
HDPE Smooth 40 mil (1.00 mm)
HDPE Smooth 60 mil (1.50 mm)
HDPE Smooth 80 mil (2.00 mm)
HDPE Smooth 100 mil (2.5 mm)
----------------
HDPE Textured 40 mil (1.00 mm)
HDPE Textured 60 mil (1.50 mm)
HDPE Textured 80 mil (2.00 mm)
HDPE Textured 100 mil (2.50 mm)
----------------
LLDPE Smooth 30 mil (0.75 mm)
LLDPE Smooth 40 mil (1.00 mm)
LLDPE Smooth 60 mil (1.50 mm)
LLDPE Smooth 80 mil (2.00 mm)
----------------
LLDPE Textured 40 mil (1.00 mm)
LLDPE Textured 60 mil (1.50 mm)
LLDPE Textured 80 mil (2.00 mm)
----------------
Other (add description in note below)
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
EMBED CHANNEL REQUIRED
Feet (
Meters )
QUESTIONS OR COMMENTS