Bates Brochure & Swatch Request
Thank you for your interest in our brochures and swatches. Please submit your request below and allow 7-10 days for delivery.
Sign in to Google to save your progress. Learn more
Email *
First Name: *
Last Name: *
Street Address: *
City: *
State: *
Zip Code: *
Phone #:
Please select swatches you'd like to receive: *
Required
Would you like to receive email alerts when we have specials or newsletters? *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Bates Mill Store.