Verbal requests will not be honored. All requests will be shipped within 24 hours. If an item is not in stock you will be notified about the delayed shipping time.

PLEASE SEND THE FOLLOWING

NAME OR DESIGN :
INDIVIDUAL FABRIC SWATCH CUTTING PATTERN :
SWATCH RACK:
TEAR SHEET PAD:
REPLACE SECTIONAL PLACARD :
QUANTITY :
COLOR :

PLEASE CHOOSE ONE:

* required fields
Store Request
DIVISION NAME :*
STORE NAME :*
ADDRESS :*
CITY, STATE, ZIP :*
PHONE :*
FAX :*
EMAIL :*
   
SALES PERSON NAME :*
STORE AND LOCATION :*
Consumer Request
CUSTOMER NAME :*
ADDRESS :*
CITY, STATE, ZIP :*
PHONE :*
EMAIL :*
STORE NAME :*
LOCATION :*
SALES PERSON NAME :*
 
 

FAX REQUESTS

You may fax your requests to

Sales Support Dept

Fax: 662-862-9969

EMAIL REQUESTS

You may email your request to

swatchrequest@maxhome.us

Please include the same details from this form

***Failure to complete all required fields will void a swatch request