Name
Company
Address
City
State
Zip
E-mail Address *
Phone
Architect or Designer's Name *
Architect City *
Project Name / City / or Sidemark *
Choose flooring product and sample size in the drop down menu.
If custom size is desired, please note that in the description box below.
Quantity *
Sample ID# / Description / Company / Folder Description *
Shipping Requirements:
We take pride in fulfilling your sample needs and making sure they arrive on time. Please indicate
below when these samples need to be on your desk, and our staff will guarantee their arrival!
* This information is required to assure your sample request arrives on time.
Order FREE Samples
Date *
Select One:
Morning
Afternoon
Flooring Product *
For your convenience, this sample order form will accommodate all of our flooring product lines. Please use the drop-down menu to the right of each description line below to select product line.