Sample Request
Product Samples & Information
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Sample Request - Contact Information
Please use the form below or call us at 800-788-8263 to receive samples & information.
•
You don't need to
register
with us to use this form but doing so will save your contact information so that you don't need to fill it in each time you use the form.
See how it works.
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As a
registered member
your personal information is guarded by our strict
privacy policy
.
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All requests received by this form are processed by 3:00 PM Monday through Friday CST.
First Name:
Enter your first name.
Last Name:
Enter your last name.
Company:
Enter your company or organization name.
Position:
Enter your job title or position.
Street Address:
Enter your street address. No PO boxes please.
City:
Enter the name of the city you reside in.
State:
Select your state from the list.
ALABAMA (AL)
ALASKA (AK)
ARIZONA (AZ)
ARKANSAS (AR)
CALIFORNIA (CA)
COLORADO (CO)
CONNECTICUT (CT)
DELAWARE (DE)
DIST. OF COLUMBIA (DC)
FLORIDA (FL)
GEORGIA (GA)
HAWAII (HI)
IDAHO (ID)
ILLINOIS (IL)
INDIANA (IN)
IOWA (IA)
KANSAS (KS)
KENTUCKY (KY)
LOUISIANA (LA)
MAINE (ME)
MARYLAND (MD)
MASSACHUSETTS (MA)
MICHIGAN (MI)
MINNESOTA (MN)
MISSISSIPPI (MS)
MISSOURI (MO)
MONTANA (MT)
NEBRASKA (NE)
NEVADA (NV)
NEW HAMPSHIRE (NH)
NEW JERSEY (NJ)
NEW MEXICO (NM)
NEW YORK (NY)
NORTH CAROLINA (NC)
NORTH DAKOTA (ND)
OHIO (OH)
OKLAHOMA (OK)
OREGON (OR)
PENNSYLVANIA (PA)
RHODE ISLAND (RI)
SOUTH CAROLINA (SC)
SOUTH DAKOTA (SD)
TENNESSEE (TN)
TEXAS (TX)
UTAH (UT)
VERMONT (VT)
VIRGINIA (VA)
WASHINGTON (WA)
WEST VIRGINIA (WV)
WISCONSIN (WI)
WYOMING (WY)
Zip Code:
Enter your zip code.
Email Address:
Enter your email address.
Business Phone:
Enter a business phone number.
Sample Request - Sample or Information Description
Product Line:
Select the product line. If unsure, use the Sample Description field below to help us fill your request.
Please Select One
ABET (Abet Laminati, Parqcolor, Parqwood, Parqfiber, Stratificato, Tefor)
APC Cork (Bio Cork Flooring)
ATI (NuMetal, MirroFlex, Structures, MirroFlex Ceiling Tiles, Aluminations)
BROOKSIDE (Natural Veneers, Braewood Veneers, Brookline Veneers)
interact® (Ceiling Tiles)
INTIRA (Fabric Wallcoverings & Textiles)
LUMICOR (Lumicor Translucent Panels)
SELECTRIM (Wood Paneling, Wood Molding, Modular Wood Systems)
SOLARBRITE (Vinyl Tile Flooring)
TEXCOTE (TexCote exterior Coatings)
VINYL WALLCOVERINGS (ESSEX®, Guard®, Vertical®, Naturale®, Grande Design®)
Other Product or Not Applicable
Sample Description:
Describe the samples or information you seek. Use pattern numbers, color numbers or other details to help us fill your request.
Project or Sidemark:
Enter a project name or other sidemark to use as a reference.
Notes:
Is there anything else we should know?
Not Required
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