SG Tile Corp.
1529 SE 47th Terrace
Cape Coral, FL 33904 USA
Toll-Free: 1.800.654.9884
T. +1.239.540.0085
F. +1.239.549-9797

First Name: Last Name:
Address:  Telephone:
City: State: Zip:
e-Mail Address:

 I would like to order:

SlipGone for Tiles and other hard surfaces: $49.99 each Quantity: Total:
SlipGone for Bathtubs and Spas: $29.99 each Quantity: Total:

I would like to pay for my order by:
(to pay by check or money order,
please call to place your order!)


Credit Card Number:   CVV Number*:
Exp. Date:
Billing Address:   Zip Code:

*On Visa, Mastercard and Discover, this is a three digit number located at the end of your
account number on the backside of your card. On American Express, this is a four digit
number at the end of your account number on the front side of your card.


Shipping: (minimum $10.00)

International Customers - Add $20.00

Please allow up to 48 hours for processing a confirmation of your order!


Shipping and Handling: $10.00 (Additional $20.00 for outside the US)

**No product can completely eliminate the risk of injury from falling on slippery surfaces.  So always use caution. However, when applied properly, SlipGone dramatically reduces the slipperiness of tile and other surfaces.  Always apply SlipGone as directed.**

All Prices subject to change without notice.

©2006 SG Tile Corporation