Draw Down / Color Chip Request Form
Company Name
*
Company Type:
*
Architect
Designer
Painter
Builder / General Contractor
Contact Name
*
Phone Number
*
-
Area Code
Phone Number
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 days)
FedEx
UPS
Pickup (Allow 48 hrs.M-F 7am-4pm)
Other
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
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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