Perry Office Plus - Furniture - Information Request

Office Furniture Information Request
Complete the form below or call us at 800-234-6605.

How would you like us to contact you?
	I'd like to make an appointment.
	Send HON Catalog
* Your Name:
* Company:
* Phone Number:
* Email Address:
Fax Number:
* City:
Your Role:
Plan to Purchase:
Product interests:	Desks Seating Conference Reception Training/Meeting Lounge	Cubicles Executive Filing/Storage Other (specify):
Describe your needs:
How Did You Hear About Us?	Referred by Friend/Colleague Advertisement Yellow Pages Internet Search (Google, Yahoo) Other:

We will contact you soon!