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Use the following form to order your free carpet: Name Publication Telephone Fax email Delivery Date No later than Delivery Address Please send Samples Transparencies (a) Location Bedroom Bathroom Hall/Stairs/Landing Lounge/Living Room Dining Room Home Office Study Kitchen Other Colour (please specify) (c) Design Plain Heather Stipple Traditional Pattern Geometric Pattern Pin-Dot Pattern Small motif Pattern Tonal Pattern Oriental Pattern Stair Runner (d) Border Yes No (e) Texture Twist Pile Velvet Pile Loop Pile Flat Weave Shag Pile Saxony Other (f) Recommended Retail Price (inc VAT) per sqr meter �10 - �15 �15 - �20 �20 - �30 �30 - �40 �40 - �50 (g) Treatments Scotchgard: Yes No Thank you for your response.