Samples will be provided at no charge. All other samples will be charged for as noted below. To receive a Dfm sample—veneer, stone or fabric—please provide the following information. Incomplete information may result in a delay in our sending out your sample. Standard samples will be sent the following day via UPS ground. Please allow seven to ten days to receive standard samples. For overnight or next-day delivery of samples, please include your Federal Express or UPS account number. Same day deliveries require your courier account number and will be billed to your account.

 

  
 

First Name

 

Last Name

 

Company Name

 

Mailing Address

 

City

 

State

 

Zip Code

 

Is this your business or home address?

 
 
 

Telephone

 

Fax

 

E-mail Address

 

  		 
 

Project Name

 

Project Number
(if required
for your billing information)

 

Project Completion Date

 
 
 

Project Type

 

Briefly describe the nature of your project

 
 
 
 

How do you intend to use your Dfm sample?

 

If "Other", please describe:

 
 

  		 
 

Sample type and Specification

 

Dfm Box Set of Standard and Exotic Veneer Finished Samples

 

Dfm 5" x 7" sample

 

Dfm 11" x 11" Architectural Collection Sample

 

Tackboard Panel Fabric Memo Sample

 

Dfm Stone and Quartz Sample

 

Standard samples will be sent COD unless prepaid in advance. Special samples require payment in advance. Samples will not be started until your payment in full is received.

 

  
 

Date Required:

 

Courier Acct. Number

 

UPS Acct. Number

 
FedEx Acct. Number