Chilewich | Sultan LLC
44 East 32nd Street
8th Floor
New York, NY 10016

Email: plynyl@chilewich.com
Tel: (706) 422-8160
Fax: (212) 679-9205

PROJECT INFORMATION

Are you an architect or interior designer?

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Are these samples for a project you are currently working on?

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If so, what type of project is this?
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Location of project:

Approximate square footage:

Would you like to receive a brochure?

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PRODUCT INFORMATION

*Application:

*Texture:

*Color:

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Samples and brochures within the US will be sent the most economical way including, at our discretion, USPS or UPS.

You must provide your FedEx or UPS account number if you want your samples or brochures sent overnight. You must supply this information if you want your samples sent outside of the US.

Carrier:

Account #:

CONTACT INFORMATION

*First name:

*Last name:

*Company name:

*Address 1:

Address 2:

*City:

*State:

*ZIP / Postal:

*Country:

*Phone number:

*Email address:

PROJECT INFORMATION

PRODUCT INFORMATION

CONTACT INFORMATION

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