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Sample Request Form

All samples will be shipped in standard sizes, unless another size is requested in Special Instructions below. Standard liquid sample size is one quart or smaller, depending on product. Standard applied sample size is a round concrete chip approximately 3.5 inches in diameter.

Standard turn around for samples is 2 business days plus shipping time. Any requested exceptions to this standard time must be noted in Special Instructions below. For example, please note if you need a sample to arrive ON a specific date but NOT BEFORE. All samples will be shipped via UPS unless notified. You will receive tracking information to the email addresses provided.

You will be notified if there are any required delays or adjustments to your request and/or if further approval is required.

  • Please note that we can only deliver to a physical street address, not to PO boxes.
  • Product NameQuantityApplied or Liquid 
  • If applicable, enter name of construction project sample will be used on.
  • Special Instructions: Please note any special (non-standard) size or date requirements, handling instructions or other details for this sample request.
  • This field is for validation purposes and should be left unchanged.