About Yourself and Your Organization

Required fields have been indicated by a * - however, RecTec's best customer service is provided with the most complete information possible.

Your Name*:
Your Company:
	(Please select one)
	Community Group
	Day Care / Preschool
	School
	Developer
	Landscape Architect
	Other
Address:
Address (cont.):
City:
Province:
Postal Code:
Telephone*:	Extension:
Fax:
Email:

How did you hear about us?
Referral
Search Engine
Mailing
Conference / Trade Show
Yellow Pages
Catalogue
Supplier Website
Other

We would like information on:
Playground Equipment
Safety Surfacing
Site Furnishings
Water Parks

Please Provide:
Catalogues
Price Lists
Leasing information
Memorial program information

About Your Project

We are planning to:
Buy this season
Buy within the year
Buy when funding permits

The user group we are planning for are:
Infants (18 months - 2 years)
Preschool (3 to 5 years)
School-aged
Special needs
Our whole community

We are:
Replacing old equipment
Expanding/Adding to our existing playground
Creating a new playground

Comments: