Fabric Sample Request Form

Factory Direct Drapes™ PO Box 1143 Union City, CA 94587
Phone:	(866) 713 - 7273
Email:	customerservice@factorydirectdrapes.com
Hours:	Mon. - Fri. 8am - 5pm PST Sat. - Sun. Limited hours of availability by phone and email

Please fill out the form below and select up to 3 free fabric samples.
For more than 3 fabric samples please contact us.

IMPORTANT NOTICE: Free fabric samples are available to assist customers with making a purchasing decision. After filling out the form below you may be asked to call and verify your interest. We ONLY ship fabric sample to the United States and Canada.

Required Fields *

First Name:	*
Last Name:	*
Email Address:	*
Phone Number:	*
Address:	*
City:	*
State:	*
Zip:	*

Fabric Sample #1:	*
Fabric Sample #2:
Fabric Sample #3:

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