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Online Quotation/Order Form for Siesta Leisure Products Ltd.

Cushions and Covers

1) Please provide the following contact information:

Name Title  
Organization Town/City
Work Phone
FAX
E-mail

        2) Please specify: Quotation or Order:    Quotation        Order

       3) Please select products and specify quantity of each:                                                

      Select Product Qty.
Cushion Inners (16"x16")
Cushion Inners (18"x18")
Cushion Inners (20"x20")

                          (Colors indicate nearest match)   

Select Product & Quantity

 Terra cotta Maroon Cream Sage
Green		 Bottle Green Sky Blue Royal Blue Navy
Blue
Cushions Covers

        4) Special instructions if any: