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Basic
Finishes Standard
Finishes Premium
Finishes Custom
Sample Request Form
(Fax this form to us at 305-576-8416)
Date request made: _____________________ Date samples needed by:
________________
Project Designation (for your reference): _________________________________________
Your Name: ______________________________________________________________
Company Name: _____________________________________________________________
Address: ____________________________________________________________________
City, State, Zip: _______________________________________________________________
Phone: _________________ Fax: ________________________________________________
E-mail:______________________________Web site: ________________________________
Please
send the following RXM samples:
Types of finishes:
Basic Finishes:
Color #____________________________
(Note: This results in a single color sample. Reference
paint chip # and name of national manufacturer).
Standard Finishes:
Eggshell finish over Texture:
Color #____________________________
(Note: This results in a single color
sample. Reference paint chip # and name of national manufacturer).
Texture over Eggshell:
(Note: The texture coat is in the foreground over
a Eggshell finish background. You may select the same color or choose
different colors for each coat.)
Texture Color: ________________________. Eggshell finish Color:
_____________________.
(Reference paint chip # and name of national manufacturer).
Premium Finishes:
Raised Texture:
Color:___________
Full Texture
Color:__________
Texture over Raised
Color:_______________
(Reference paint chip # and name of national manufacturer).
Special Requests: _______________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
If you have any questions, please call us at:
1-800-776-3316 or 305-576-3316.
Fax this form to us at 305-576-8416.
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