Request Proposal - FLG Industries, Inc. Fax: (305)595-6804


· New Pool Yes _______ No _______
· New Pool Projected Size _______ Ft. x _______ Ft.
· Existing Pool Size _______ Ft. x _______ Ft.
· Depth of Pool _______ Ft.
· Residential Homes Yes _______ No _______
· Subdivisions Yes _______ No _______
· Community Center Yes _______ No _______

Reason for Interest:
· Child Safety
· Handicap Access
· Increase Patio Area

· Other 		Check all that apply:
· Municipal Recreation Facilities
· School Recreation Facilities
· Hotels and Motels
· Spa's
· YMCA or similar facility
· Hospitals
· Rehabilitation Facilities
· Nursing Homes
· Facilities for the Disabled
· Indoor
· Outdoor

Date of Future Pool Installation: Month: _________________ Day: _______ Year: _______

Names:

__________________________________________________________
Address:

__________________________________________________________
City:

__________________________________________________________
State:

__________________________________________________________
Zip Code: __________________________________________________________
Phone: __________________________________________________________
Fax: __________________________________________________________
E-mail: __________________________________________________________
·Send Quote By E_Mail: Yes _____ No _____
·Please Call me at: _________________________ (Work Phone Number)
·Home: _________________________ (Phone Number)

Between Hrs. of: ________ am pm ________ am pm