Sample Request Form

QUESTIONS?
Call TOLL FREE
1-800-510-0655

HOME | CARPET  | PADDING  | HARDWOOD |  LAMINATE  |  TILE  |  VINYL |  AREA RUGS
CARPET TEXTURES | CARPET TIPS | SHAW CARPET | BEAULIEU CARPET |  MOHAWK CARPET
WEAR DATED CARPET |  STAINMASTER CARPET |  ANSO NYLON CARPET  |  IN-STOCK SPECIALS  |  SHIPPING INFO
  ABOUT US |   Meet our Sales Force!   |  CONTACT US   |  Quick Quote    |  Testimonials

FREE SAMPLES ON REQUEST
We will respond to you as quick as possible - requests made after 6 pm est will be replied to the next business day. 
(If you submit a request via email - please let your salesperson know when calling in.)


Note In order to expedite your request, please provide as much information as possible on the products you need. 

What Style(s) are you interested in receiving samples on from our website:

 

Or if you have not seen the type of flooring you are looking for on our website, please let us know the details and what room(s) you are wanting flooring for:

YOUR E-MAIL ADDRESS: 
Please verify your email address by retyping it here: 

Name:

Company:

Street Address: 

City:
   State:    Zip Code:
Home Phone: (
) -    Work Phone: ( ) -    
Fax: (
) -

How soon do you need the flooring?
1 Month   3 Months   6 Months   1 Year   Other:  


Product Color Preference:

Average Room Size In Your Home:  Length Width

Do you need padding? Yes   No

Do you need:
Hardwood
Laminate
Vinyl
Amount needed:    Style Name if Known:
Amount needed:    Style Name if Known:
Amount needed:    Style Name if Known:

PLEASE GIVE ADDITIONAL COMMENTS SO WE CAN BETTER SATISFY YOUR NEEDS!

:

How did you find us? If other, please specify:   


HOME | CARPET  | PADDING  | HARDWOOD |  LAMINATE  |  TILE  |  VINYL |  AREA RUGS
CARPET TEXTURES | CARPET TIPS | SHAW CARPET | BEAULIEU CARPET |  MOHAWK CARPET
WEAR DATED CARPET |  STAINMASTER CARPET |  ANSO NYLON CARPET  |  IN-STOCK SPECIALS  |  SHIPPING INFO
  ABOUT US |   Meet our Sales Force!   |  CONTACT US   |  Quick Quote   |  Sample Request    |  Testimonials


Georgia Carpet Industries

Mailing Address:  P.O. Box 2087 - Dalton, GA  30722-2087
Street Address:  3352 Lower Dug Gap Road Dalton, GA  30720

TOLL FREE: 1-800-510-0655
Local (706) 277-2330
Fax (706) 277-4695
e-mail: info@georgiacarpet.com