Exclusive Dealer / Installer Order Form

Exclusive Dealer / Installer Order Form

3 weeks lead time is needed for all standard orders. 4 weeks lead time is needed for all custom orders. If you need an order expedited, please submit this form as soon as possible and contact us to discuss your timeline.
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C&S: Black ($2.00/lb)
C&S must be ordered in 1 ton increments.

$4,000.00 Quantity



C&S: Tan ($2.25/lb)
C&S must be ordered in 1 ton increments.

$4,500.00 Quantity



C&S: Brown ($2.25/lb)
C&S must be ordered in 1 ton increments.

$4,500.00 Quantity



C&S: Canyon ($2.25/lb)
C&S must be ordered in 1 ton increments.

$4,500.00 Quantity



C&S: Sandy ($2.25/lb)
C&S must be ordered in 1 ton increments.

$4,500.00 Quantity



C&S: Stormy ($2.25/lb)
C&S must be ordered in 1 ton increments.

$4,500.00 Quantity



C&S: Bermuda ($2.50/lb)
C&S must be ordered in 1 ton increments.

$5,000.00 Quantity



C&S: Cloudy ($2.50/lb)
C&S must be ordered in 1 ton increments.

$5,000.00 Quantity



C&S: Lightning ($2.50/lb)
C&S must be ordered in 1 ton increments.

$5,000.00 Quantity



C&S: Midnight ($2.50/lb)
C&S must be ordered in 1 ton increments.

$5,000.00 Quantity



C&S: Rye ($2.50/lb)
C&S must be ordered in 1 ton increments.

$5,000.00 Quantity



C&S: Sky Blue ($2.50/lb)
C&S must be ordered in 1 ton increments.

$5,000.00 Quantity



C&S: Sunrise ($2.50/lb)
C&S must be ordered in 1 ton increments.

$5,000.00 Quantity



C&S: Sunset ($2.50/lb)
C&S must be ordered in 1 ton increments.

$5,000.00 Quantity



C&S: Thunder ($2.50/lb)
C&S must be ordered in 1 ton increments.

$5,000.00 Quantity



C&S: Custom Blend Using Above Colors ($3.50/lb)
Custom C&S must be ordered in 1 ton increments. Please indicate the custom blend needed in the text box at the bottom of this order form.

$7,000.00 Quantity



C&S: Custom Color (not color listed above) (REQUEST PRICING)
Custom C&S colors can be requested and must be quoted for pricing.

$ Free Quantity



Standard Primer

$1,500.00 Quantity



Superduty Kit
1.5 gallon kit

$150.00 QuantityColor



Ground Rubber & Colorant Kit
$32.00 Quantity



Accelerated Binder
Polylast standard binder

$1,582.50 QuantitySize



Alphatic Binder- 42lb pail
UV blocking binder

$315.00 Quantity



Total

$0.00
Full Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Special Instructions
If you have any sample photos for color matching, please upload them here

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Date*

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Date
Signature*

By signing, I confirm that I have reviewed and verified the accuracy of my order details, including item specifications, quantities, and prices. I acknowledge that once this order is placed, it is non-refundable and may not be modified. I accept full responsibility for any errors or omissions in the order details as submitted.
THIS IS NOT AN INVOICE. You will receive an invoice once your order has been submitted and approved by the company. Your order will not be processed or put into production until payment has been made. Please allow for processing time.
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Exclusive Dealer / Installer Order Form

THIS IS NOT AN INVOICE. You will receive an invoice once your order has been submitted and approved by the company. Your order will not be processed or put into production until payment has been made. Please allow for processing time.