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Architect/Designer Professional Online Sample Order
Form

EnviroGLAS is pleased to offer A & D professionals up to two (2) Sample Gallery samples per project. But each sample created has an impact on the environment. So in order to encourage mindful sample selection and minimize the environmental footprint of sample-making, custom samples or any more than two Sample Gallery samples will cost $25 each. Custom samples can be ordered directly through the Product tab for the product you are considering.

Many professionals request a complete set of samples. Because EnviroGLAS products are so customized, it is impossible to provide a full line of samples. However, we can provide a box of seven samples representing the range of possibilities at a cost of $50. Or you can create your own box of seven samples from our Sample Gallery at a cost of $70. Click here to order sample box.

Please enter the sample code from the Sample Gallery here:

Sample Code 1:
*

Sample Code 2:   (if desired)

Project Details

For our records and to help us better serve you, please provide the following info:

* Required Fields

Application*:
Project Name*:
Project Location*:
Project Firm*:
Project Designer*:

Project Square Footage*:

USGBC LEED® Certification? Yes No
   
SAMPLE PRIORITY*: Sample Board
  Submittal
  Match for Existing Installation
  Date I need to receive this sample (enter below)
 
   
ASAP requests – please supply a
Fed Ex account number:
   
Special Comments:
   

A couple more details...

   
How did you find us?*
Please have a product rep call me
   

Contact & Mailing Information

First Name*:
Last Name*:
Company*:
Mailing Address*:
City*:
State*:
Zip Code*:

Phone*:

Fax:
Email Address*:
You will receive an order confirmation at this email address

* Required Fields

Please allow 15 business days to receive your sample.

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EnviroGLAS • 3941 Legacy Drive, Suite 204-211B • Plano, Texas 75023
 (888) 523-7894 enviroglas@gmail.com
 


 


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