*Contact Name:
*Telephone Number:
*E-Mail Address:

Special Size: cm x cm
(Maximum size: 150cm x 650cm)

*Will the mat be fitted into a Recess or Well?:
Yes No
If Yes - Exact size of Recess or Well:
cm x cm

*Rubber Border:
Yes (standard)
No (special)

*Backing Type:
Flat (standard for Smooth or Hard floor surfaces)
Gripper (for Carpeted floor surfaces)

*Colour: Black - Mink Black - Brown Black - Cedar Black - Steel Black - Pearl Granite Black - Blue Black - Scarlet

*Number of Mats:

Comments/Special instructions:

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