Request a Sample

All samples are offered free of charge and will be sent by first class mail unless otherwise requested and a shipper number provided. A shipper number is required for all International requests. Up to 4 samples may be ordered at one time. All samples are shipped with a random print if available, otherwise blank pieces will be sent. Samples may not be customized. If you have any questions regarding our sample policy, please call us at 1-800-547-2359 (M-F, 8:00am-5:00pm CST) or email us at autopt@charter.net and we will be happy to help you out.

Distributor Information
Company
ASI/PPAI/Sage#
First Name
Last Name
Country
Address
City
State
Postal Code
Phone #
Fax #
Email
Fedex/UPS # If required
Ship To Only if different from above.
Company
First Name
Last Name
Address
City
State
Postal Code
Phone #
Product Sample
Sample Item #
Sample Color(s)
Comments