Enquiry Form POLY FLEX™ - MEMBRANE COMPANY NAME CONTACT PERSON USER APPLICATOR (please indicate) ADDRESS COUNTRY Afghanistan Albania Algeria Argentina Australia Austria Belgium Brazil Bulgaria Canada Chile China Colombia Costa Rica Croatia Czech Republic Denmark Ecuador Egypt El Salvador Finland France Germany Greece Hong Kong Hungary India Indonesia Ireland Israel Italy Japan Jordan Korea, South Lebanon Malaysia Mexico Morocco Netherlands New Zealand Norway Pakistan Peru Philippines Poland Portugal Puerto Rico Romania Russia Saudi Arabia Singapore South Africa Spain Sweden Switzerland Taiwan Tanzania Thailand Turkey UAE Uganda UK Ukraine USA Venezuela Yugoslavia (Former) CONTACT NO. PHONE     MOBILE FAX NO. EMAIL AREA OF APPLICATION / USAGE   (Please tick atleast one from below) SLOPING ROOF BASEMENT SEWAGE SYSTEM FLAT TERRACE WATER TANK FISH POND TERRACE GARDEN EXPANSION JOINTS GOLF COURSE LAKE OTHERS PREFERRED MEMBRANE VARIETY EPDM   BUTYL   HYPALON REINFORCED / NON REINFORCED THICKNESS OF MEMBRANE 1.2 mm   1.5 mm   2.00 mm   3.00 mm WILL USE OWN ADHESIVE YES   NO METHOD OF MEMBRANE FITTING Loose Laid   Spot Bonding   Full Bonding ALTERNATIVE POLYMERIC ADHESIVE TAPE BONDING Required   Not Required WATER PROOFING AREA    SQ.FT    SQ.M BUDGET APPROX INR    US Dollars   SQ.FT   SQ.M

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