NextStone™ Product Sample Order Form

Would you like to see an actual sample of our product? If you live close to a local dealer, we encourage you to visit them in person to view our entire product line.

If there are no dealers in your area, we do offer product samples for $17 (credit cards accepted).

We currently support three different ordering methods for customers in the United States:

Call us at 866-371-8232 (toll free) between 9am and 5pm Mountain time to place your order
or Complete the form below and someone will call you within 2 business days to confirm your order and collect your payment.

Your sample package will contain one piece of a panel approximately 10" x 12" (Rock Face) or 4" x 10" (Dry Stack) in size, in the color(s) of your choice.

Samples are $10 each, plus $7 shipping/handling per package. i.e. one sample is $17 total, two samples are $27 total.

Please select one or more sample colors:

Rock Face Panels

Dry Stack Panels

Sedona	Tri-Gray	Desert Buff
Lava Gray	Tri-Buff	New England Mocha

Durango Red	Santa Fe Adobe
Western Taupe	Kentucky Gray
Carolina Cocoa

	* fields are required
Your name: *
Address1: *
Address2:
City: *
State: *	Zip: *
Your Email: *	(We value your privacy. Your email will only be used to confirm this transaction.)
Your Phone: *	(cell phone number OK)
Preferred contact time:
Price:	$17 total for one panel, additional color samples available are $10 each
Payment Information:	We accept Visa and Mastercard. Your credit card information will be collected when you speak with our customer service representative. Charges will appear on your credit card statement as "Colorado Siding Supply" Sorry, there are no refunds for Samples.
NOTES:	Colors shown are reproduced by the lithographic process and may vary from actual colors. Consult product samples for accuracy. Nextstone reserves the right to delete or change items in its product line without notice. Sizes shown are approximate. Coverage area can vary.
	A customer service representative will process your order within 2 business days.