Information and Sample Request Form



* Indicates Required Information

Name *
Title *
Company *
Street Address *
(Required for delivery of samples)**
P.O. Box
City * State * Zip *
Phone *
Fax
E-mail *

Type of company: (please select at least one)
distributor
exporter
importer
wholesaler
specialty retailer
decorating center
department store
mass merchant
installer
contractor
restoration
fabricator
training/education
manufacturer
interior design
architect
other


Please select type and color of samples requested:
Slate
Type of sample:
flagging roofing tiles slabs
Color:       
Black
Graphite
Grey            *****not every product available in each color*****
Green
Rust (Multi-color)
Plum

Quartzite
Type of sample:
tiles flagging
Color:       
Ouro Preto (whites, pinks, reds)
Sao Tome (yellow/beige or white)
White Quartzite (white w/greyish tones -- no flagging)

Sandstone (tiles):
Colors:
Forest Web
Buff
Parquet

Please provide us with information on your project.

Interest  is:
Immediate
Future
Both

Specifications:

Location 
Square Footage 
Color
Finish 
Size
Timing 

Additional comments:
    
  


**NOTE: All samples will be shipped UPS ground unless otherwise requested.
In certain instances, the customer will be responsible for paying freight of
samples if large quantities are requested or if they are shipped other than
ground.