Product Sample Request

To request a product sample, please complete the following form. Be sure to describe your project or application in the box below so that we may offer additional product information or recommendations. Sample requests are typically processed within 2-3 business days upon being received and will be shipped to the address you provide via USPS.

If you are unsure which product is best for your project or application, please call (765) 560-3872 to speak to one of our friendly and knowledgeable customer service representatives. They will be happy to answer any of your project, technical, or install related questions.

Product Sample Request Ver2

FIRST NAME *

LAST NAME *

EMAIL ADDRESS *

PHONE NUMBER *

PRIMARY

STREET ADDRESS *

INCLUDE APARTMENT OR SUITE NUMBER

CITY *

STATE/PROVINCE *

ZIP/POSTAL *

ADDRESS TYPE *

RESIDENTIAL

COMMERCIAL

PRODUCT OF INTEREST * (SELECT ONE)

MULTIWALL POLYCARBONATE CHOOSE PRODUCT 6MM TWIN WALL CLEAR 6MM TWIN WALL HAMMERED 6MM TWIN WALL OPAL 6MM TWIN WALL WHITE 6MM TWIN WALL BRONZE 8MM TWIN WALL CLEAR 8MM TWIN WALL OPAL 8MM TWIN WALL SOFTLITE 8MM TWIN WALL BRONZE 10MM TWIN WALL CLEAR 10MM TWIN WALL OPAL 10MM TWIN WALL WHITE 10MM TWIN WALL BRONZE 16MM TRIPLE WALL CLEAR 16MM TRIPLE WALL OPAL 16MM TRIPLE WALL SOFTLITE 16MM TRIPLE WALL WHITE 16MM TRIPLE WALL BRONZE 20MM 5X WALL CLEAR 20MM 5X WALL OPAL 20MM 5X WALL BRONZE 25MM TRIPLE WALL CLEAR 25MM TRIPLE WALL OPAL 25MM TRIPLE WALL BRONZE 25MM 5X WALL CLEAR 25MM 5X WALL OPAL

CORRUGATED POLYCARBONATE CHOOSE PRODUCT MR9" CLEAR MR9" OPAL MR9" SOFTLITE MR9" BRONZE MR9" FLAT CLEAR MR9" FLAT OPAL MR12" CLEAR MR12" OPAL MR12" SOFTLITE MR12" BRONZE GRECA CLEAR GRECA OPAL GRECA SOFTLITE GRECA BRONZE

LEXAN™ THERMOCLICK™ CHOOSE PRODUCT 40MM CLEAR 40MM OPAL 40MM BLUE

PVCLITE PANELS CHOOSE PRODUCT PVCLITE BEIGE PVCLITE WHITE PVCLITE PLUS GRAY PVCLITE PLUS GREEN PVCLITE PLUS RED

FIBERGLASS PANELS CHOOSE PRODUCT FIBERLITE CLEAR

PVC LINER PANELS CHOOSE PRODUCT AGRILITE™ MR9" WHITE AGRILITE™ GRECA WHITE EZ LINER™ WHITE

OTHER PRODUCT SAMPLES

HOW MANY PRODUCT SAMPLES WOULD YOU LIKE? (STANDARD SAMPLE SIZE IS 5″ x 7″) *

1

2

3

PLEASE DESCRIBE YOUR PROJECT OR APPLICATION *

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