Lunch & Learn Request Form

Design Considerations & Options
For Successful Resinous Flooring Solutions

Approximately one-hour


Please complete all fields and submit the application form below:

Company name: Phone:
Contact name:   (ex. 555-555-5555)
Street address: Fax:
City: E-mail:
State:    
Zip code:    


Address for presentation (if different than above):

Street address:
City:
State:
Zip code:
Estimated number of attendees:
Desired month:
Desired day of week:
Audio Visual equipment available? Yes No
Do you want AIA CES credits? Yes No

 

Please indicate whether you would like to arrange for lunch and bill us or if you would like us to:

We will arrange for lunch      Dur-A-Flex will arrange for lunch


 
Contact Us: Toll Free: 877-251-5418 • Fax: 860-528-2802