Custom Tub Protector Order Form Help us to provide you with the best Tub Protector option available. Fill out the following form and fax it to us at (800) 243-1777. Company Name: Company Address:
Phone Number:
FAX Number:
Contact Name:
Title/Position:
QUANTITY
MANUFACTURER
MODEL NAME
MODEL NUMBER
MODEL DIMENSIONS
IE: (177)
(American Standard)
(Stratford)
(2470.002)
(66” x 32” x 20”)
If you are not a licensed wholesale supply company, please provide the following information to help us expedite satisfying your needs. Preferred Supplier 1: Address: Phone Number: Contact(s): Preferred Supplier 2: Address: Phone Number: Contact(s): 112
3689 Arrowhead Drive Carson City, NV 89706 • Phone (800) 854-3215, Fax (800) 243-1777 • www.lspproducts.com