Company Name
*
Company Type:
*
Architect
Designer
Painter
Builder / General Contractor
Contact Name
*
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Project Name
*
Delivery or Pickup?
*
Mail (4-5 business days)
Pickup from Grand Ave Location (Allow 48 hrs.M-F 7am-4pm
FedEx Account Number
UPS Account Number
Date Needed
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Design Status
*
Design Development
Specifications
Bidding
Under Construction
Painting Soon
Library Replenishment
Lighting Type (If unsure, color matched in Fluorescent/Day combination
*
Incandescent
Flourescent
Day Light
Unsure
LED
Other
Request Type (Select all that apply)
*
Draw Down (6"X9" Actual Paint)
Color Chips (3"X5" Printed Card)
Notes
If ordering color chips, please enter color chip info in notes
Draw Down Colors
Enter the message as it's shown
*
Submit Order
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