Sample Request

Please complete the following form to request samples from Concreteworks East. Please be aware that standard samples are 4" x 4" in size. If you would like to request a different size, please leave a note for us in the message area of the form.

Ship to:

Select Colors:

Select Finishes:

Please be aware that samples are sent via USPS standard rate. If your sample request has an immediate need such as Overnight or 2-Day delivery, please provide a FedEx Account # to be used in creating the expedited shipment.