Resilite - Mat Quotation Request Form

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Mat Quotation Request Form

Thank you for your interest in Resilite Training or Competition Mats. Please fill in the form below & submit your request for a mat quotation. Resilite will contact you within a couple of working days with a mat quotation.

Print out a copy of this form for future use.

Customer Contact Information:
Please provide the following information. (*) Required fields

*First Name			*Last Name
Title			*Organization

*Street Address
Address (cont.)
*City
*State/Province
*Zip/Postal Code
*Country

*E-mail			Home Phone
Work Phone			FAX

Resilite Dealer Name if known

Mat Features:

Size:
or Custom Size (Enter in feet and inches, width x long measurement):

Number of Sections: Vertical or Horizontal Cut

Mat Thickness:

Top Side of Mat

Choose one type of layout and fill the appropriate questions below the selection.

	Mat Color/Protection Area:
	Large Wrestling Area:
	Large Wrestling Circle Line:
	10' Circle Area:
	10' Circle Line:
	Referee Marks/Starting Lines:

International Markings
	Passivity Zone Line:
	Solid Passivity Zone Area: (optional)
	1 Meter Circle: e="Purple">Purple
Other Top Side Comments

Add Spirit with Lettering & Logos (Optional)

Lettering (1):
Color of Lettering
Tri-Tone Lettering (Outline)
Location(s):

Lettering (2):
Color of Lettering
Tri-Tone Lettering (Outline)
Location(s):

Logo (1):
Help to keep costs down by selecting a standard size logo and limiting the amount of colors in the logo. Resilite will need to view an image of the logo in order to make an appropriate quotation. For information on how to send logo(s) to Resilite click here.
Logo Description:
Size:
Colors of Logo
Location(s):

Logo (2):
Help to keep costs down by selecting a standard size logo and limiting the amount of colors in the logo.
Logo Description:
Size:
Colors of Logo
Location(s):

Bottom Side of Mat

Choose one type of layout and fill the appropriate questions below the selection.

	Mat Color/Protection Area:
	Large Wrestling Area:
	Large Wrestling Circle Line:
	10' Circle Area:
	10' Circle Line:
	Referee Marks/Starting Lines:

International Markings
	Passivity Zone Line:
	Solid Passivity Zone Area: (optional)
	1 Meter Circle:
Other Bottom Side Comments

Additional Requirements/Comments:

To help Resilite serve you better, we'd like to ask a few questions. We see that you aren't submitting a mat design using our Design-A-Mat Program.

Were you able to create a mat layout using our Design-A-Mat program? Yes No, I had problems I didn't try

Could you give us your opinion about the our Design-A-Mat Program?

I would like to be contacted by the following option(s): For each selection chosen, please include the contact information above.
	E-mail home phone work phone	fax mail Other:

		PO Box 764 • Sunbury, PA 17801 Phone: 800-THE-MATS • 800-843-6287 Fax: 570-473-8988 • e-mail: resilite@resilite.com