Please print, complete and return this form to us via fax at: 866 740 0147.
$5.00 Charge per slatwall sample + $19.85 UPS sample shipment delivery charge.
STANDARD SLATWALL FINISHES
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[] 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 [] Acrylic Mirror [] Unfinished Paint Grade [] Maple Veneer [] Red Oak Veneer |
SLAT-DESIGN TEXTURED SLATWALL FINISHES
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[] Taupe Brick [] Sandstone Brick [] Red Brick [] Grey Brick [] White Brick [] Tire Tread [] Cool Weathered Wood [] Warm Weathered Wood |
[] Grey Barnwood [] Natural Barnwood [] White Barnwood [] Galvanized Corrugated [] Rust Diamond Plate [] Silver Diamond Plate [] White Subway Tile |
[] Natural Cement [] Bleached Cement [] Walnut [] Blue Stain Pine [] Natural Cedar [] Driftwood [] Rosewood |
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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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