Product sample request form - PT. Refcor Daya Teknologi (Refcortech)

Floor System Division inqiuires and Material Request Form

On this page, you can make inquiries and material requests sample to our REVTEK products raised floor by fill in the form below.

Inquiry / Material Sample Request Information

Sample request form& Material Request Form

Sample of Selected Product :

please spesify the product if you choose others:

what is the amount raised floor that you or your company currently looking for?(required)

where is your delivery and installation location?(required)

Specific address for delivery : (required)

"Thank you for your inquiries. We are happy to send you free sample!"
Please complete below information in order to get your free sample.

Customer Information

Your Name (required)

Company Name (required)

Departement (required)

Address (required)

Country (required)

Your Email (required)

Office Phone (required)

Mobile Phone (required)

Your Subject

Term & condition :
- We will validate your company request based on your submission before we send the sample to your specified address
- we have the right to reject your inquiry with the following reason :
    - your information is not sufficient for validation
    - your request is not valid
    - your company information is not valid
- we will send notification by email whether your request is approved or rejected
- sample consist of one piece of corner cut panel, and one piece for each pedestal and stringer
- we provide free delivery cost for Indonesia area only