Fax Sheet

Please include a "rough drawing" with room dimensions (width, length, ceiling height).
 
Name:________________________             

Address:______________________             

_____________________________            

_____________________________

_____________________________

           

Phone: ( ___ ) _________________

Fax:     ( ___ ) _________________

Please print this sheet and mail to:
Les Entreprises Marcel Bédard
12 rue du Chevreuil
Bromont, Qc
Canada J2L 1Z4 

or fax form to (450) 815-0618 .