Request for Information


If you are interested in having me create your tiles, or have questions please fill out the following form.

Please provide the following contact information:

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

Select any of the following that you are interested in:

Custom Flower Tiles
Custom Vegetable or Herb Tiles
Custom Fruit Tiles
Custom Animal Tiles
Custom Multiple Tile Murals
Custom Sinks-Basins-Soap Dishes

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Comments: Type any additional questions here, so I can answer most of your questions in my first e-mail.


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