Request Samples

Contact Information

Company:

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip: *

Country:

Phone: *

E-mail: *

E-mail Confirm: *

Project Information

Project Name: *

Project City:

Project State:

Project Description:

Company Information

How did you hear about Avonite Surfaces?:

What category best describes your job function?:

Which best describes your firm?:

Types of projects you work on?:

Sample Information

Most orders usually ship within 24-48 hours. For special requests, please allow an additional five days.

Standard Size Requests

Color:

Standard Size:

Special Size Requests

Color:

Custom Size:

Comments:

Shipping Information

All Samples are sent by US Mail which takes 3-5 days for delivery. To request other shipping arrangements, please indicate type and provide your account number below. Account number is REQUIRED for other shipments.

Method:

United States Postal Service

Federal Express Overnight

Federal Express 2 Day Air

Fed Ex Account Number:

Please Enter Your 9 Digit Fed Ex Account Number

Word verification: * Type the characters you see in this picture.

(verify using audio)

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.