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 PRODUCT6MM TWIN WALL CLEAR6MM TWIN WALL HAMMERED6MM TWIN WALL OPAL6MM TWIN WALL WHITE6MM TWIN WALL BRONZE8MM TWIN WALL CLEAR8MM TWIN WALL OPAL8MM TWIN WALL SOFTLITE8MM TWIN WALL BRONZE10MM TWIN WALL CLEAR10MM TWIN WALL OPAL10MM TWIN WALL WHITE10MM TWIN WALL BRONZE16MM TRIPLE WALL CLEAR16MM TRIPLE WALL OPAL16MM TRIPLE WALL SOFTLITE16MM TRIPLE WALL WHITE16MM TRIPLE WALL BRONZE20MM 5X WALL CLEAR20MM 5X WALL OPAL20MM 5X WALL BRONZE25MM TRIPLE WALL CLEAR25MM TRIPLE WALL OPAL25MM TRIPLE WALL BRONZE25MM 5X WALL CLEAR25MM 5X WALL OPAL

CORRUGATED POLYCARBONATE CHOOSE PRODUCTMR9" CLEARMR9" OPALMR9" SOFTLITEMR9" BRONZEMR9" FLAT CLEARMR9" FLAT OPALMR12" CLEARMR12" OPALMR12" SOFTLITEMR12" BRONZEGRECA CLEARGRECA OPALGRECA SOFTLITEGRECA BRONZE

LEXAN™ THERMOCLICK™ CHOOSE PRODUCT40MM CLEAR40MM OPAL40MM BLUE

PVCLITE PANELS CHOOSE PRODUCTPVCLITE BEIGEPVCLITE WHITEPVCLITE PLUS GRAYPVCLITE PLUS GREENPVCLITE PLUS RED

FIBERGLASS PANELS CHOOSE PRODUCTFIBERLITE CLEAR

PVC LINER PANELS CHOOSE PRODUCTAGRILITE™ MR9" WHITEAGRILITE™ GRECA WHITEEZ 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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