Sample Request

"*" indicates required fields

Sales Rep

Business/Contact Name*

Email Address*

Street Address*

City*

Province*

Postal Code*

Contact Name*

Phone*

Samples*

QTY

Product Code

Description

Colour

Sample Return Date*

Sample Use (Please check all that apply)*

This sample is for use in a commercial showroom and freight (if applicable) is to be paid for by the customer. The sample(s) in this case will not be returned.

This sample is to be taken and sample(s) will be deducted from future order (if order is placed). The sample(s) in this case will not be returned.

This sample is to be taken and returned to BUM. For purposes such as; to see if a client likes it, to see if thesample(s) will work in a designated space, etc. The sample will be returned by the abovementioned date in the same condition in which it was received.

CAPTCHA