Free

Order a  fabric\wood\leather sample
Order a brochure
Order a binder
Order a chair sample

Your name:
Company name:
Mailing address:
Email address:
Phone number:
Check what you would be interested in receiving…
	Leather sample, please specify
	Memo fabric sample, please specify
	Brochure, please specify
	Chair sample, please specify
	Other, please specify
Special instruction or notes to MIM
Would you like to receive our monthly enewsletter?	Yes No
Would you like to be contacted for a lunch and learn presentation?	Yes No
Would you like to be invited to special events or functions in the future?	Yes No
Enter text in the graphic to the right in text area (verification) below below
verification