CARPET SAMPLE INFO
Carpet Manufacturer:
Style Name:
Style Number:
Color Name:
Color Number:
Swatch Size Desired:
9" x 9"
13 1/2" x 18"
18" x 27"
Full 12' Width Swatch
Required Sample Delivery Date:
SAMPLE SHIPPING INFO
*
Customer Name:
Street Address:
City:
State:
Zip Code:
Phone#:
Fax#:
*
E-mail:
PROJECT INFO
Project Name:
Approximate Sq. Yds. Required:
Carpet Budget (material cost) Per Sq. Yd.:
Custom Color Match Required:
YES
NO
Date Required for Carpet Installation:
Special Comments or Questions:
*
required fields
-
need to be filled out before you submit
