DISCOUNT
Garment Racks &
Store Fixtures
SLATWALL SAMPLE REQUEST

Please print, complete and return this form to us via fax at: 866 740 0147.

$5.00 Charge per slatwall sample + $10.00 UPS sample shipment delivery charge.

STANDARD SLATWALL FINISHES
[]   White Melamine
[]   Light Gray Melamine
[]   Dove Gray Melamine
[]   Almond Melamine
[]   Black Melamine
[]   Hardrock Maple Melamine
[]   Oak Melamine
[]   Soumi Birch Melamine
[]   Cherry Blossom
[]   Mahogany Melamine
[]   Pearwood Melamine
[]   Brushed Aluminum Melamine
[]   Brushed Aluminum Veneer
[]   Acrylic Mirror
[]   Unfinished Paint Grade
[]   Maple Veneer
[]   Red Oak Veneer

SLAT-DESIGN TEXTURED SLATWALL FINISHES
[]   Taupe Brick
[]   Sandstone Brick
[]   Red Brick
[]   Grey Brick
[]   White Brick
[]   Tire Tread
[]   Cool Weathered Wood
[]   Warm Weathered Wood
[]   Grey Barnwood
[]   Natural Barnwood
[]   Whitewash Barnwood
[]   Honey Maple Barnwood
[]   Rust Corrugated Metal
[]   Galvanized Corrugated
[]   Rust Diamond Plate
[]   Silver Diamond Plate
[]   Grey Heavy Metal
[]   Rust Heavy Metal
[]   White Subway Tile
[]   Natural Cement
[]   Bleached Cement
[]   Natural Slate
[]   White Slate
[]   Walnut
[]   Blue Stain Pine
[]   Natural Cedar
[]   Red Cedar
[]   Driftwood
[]   Rosewood

SHIP TO:
Your Name: ___________________________________________________________

Company Name:_______________________________________________________

Shipping Address:______________________________________________________

City:_______________________________ State:_________ Zip Code:____________

Phone:__________________Fax:__________________ Email:__________________

PAYMENT INFORMATION:
VISA     MC     DISC #____________________________________ Exp:_____/_____

C/C Billing Address:___________________________________________________

Zip Code:____________________________ 3 Digit Security Code:______________

Approval Signature:_____________________________________________________



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