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Request for quotation

Name	:
Address	:
Postal code	:
City/town	:
Telephone	:
Telefax	:
E-mail adress	:
Address of cowshed	:
City/town	:
VAT number	:
Technical details (please check as applicable)
Grating floor	Continuous Concrete floor
Synthetic floor	Tiled floor
Dimensions of the floor to be treated (please check as applicable)
Gangways
Gangway 1 length:	m.	Gangway 1 width:	m.
Gangway 1 length:	m.	Gangway 1 width:	m.
Gangway 1 length:	m.	Gangway 1 width:	m.
Gangway 1 length:	m.	Gangway 1 width:	m.
Waiting areas
Gangway1 length:	m.	Gangway1 width:	m.
Gangway1 length:	m.	Gangway1 width:	m.



Crossing areas between gangways
Crossing 1 length:	m.	Crossing 1 width:	m.
Crossing 1 length:	m.	Crossing 1 width:	m.
Crossing 1 length:	m.	Crossing 1 width:	m.
Crossing 1 length:	m.	Crossing 1 width:	m.
Other floor sections
Section 1 length:	m.	Section 1 width:	m.
Section 1 length:	m.	Section 1 width:	m.
When do you want the work to be carried out? (Low season with discount, high season with surcharge)
5 % Discount
January	February	March
2 % Discount
December	April
5 % Surcharge
May	June	September
2 % Surcharge
October	November

Working hours
From hours	To hours
From hours	To hours


Comments





How did you first hear about this roughening system?
	Add / article in,
	Colleague stockholder
	Cattle feed company,
	Trial farm in
	Milk factory
	Trimmer
	Veterinary
	Information service of,
	other source

Drachten (NL), Ommen, Arnhem, Roermond, Tilburg , Goes, Poppel (B), Rennes(F),
Buckingham (UK), Widnes (UK)