EVERSTONE PROJECTS REGISTRATION FORM

+Please enter below information as much as possible. < * These items are mandatory > +The first project registration form received will hold first priority with Everstone. +All information provided will be kept highly confidential. +Please complete the form and fax or email to Erik at erik@everstone.com.au for confirmation. +For any update or further assistance, please contact Erik.

REGISTRANT * LOCATION * COMPANY* EMAIL * GENERAL Owner / Designer Details Main Contractor Details Projects Estimate Starting Time * CITY

PROJECT TITLE * COUNTRY TEL DATE*

Architect Details * Others

SAMPLE RECORD
ITEM#1 QTY(sheet/tile) ITEM#1 QTY(sheet/tile) ITEM#1 QTY(sheet/tile) ITEM#1 QTY(sheet/tile)

Others

PRODUCTS RECORD *
Description PRODUCT #1 PRODUCT #2 PRODUCT #3 PRODUCT #4 Others QTY(sheets) or or or or or QTY(m) Delivery Require

Note: Everstone will not be liable for any loss to the client due to registration failure