Agent Sample Request Form

Select the required samples, enter your agency’s details and provide your client’s delivery address. We’ll take care of the rest.

For specific color codes, refer to our product spec sheets via product downloads.

North American Agent Sample Request Form

Acoustic PET

Off WhiteCoreFree

Light Grey (LG) Core Free

Charcoal (C) Core Free

Black (B) Core Free

Emerald Green (EG) Core Free

Dark Blue (DB) Core Free

Light Blue (LB) Core Free

Bright Blue (BB) Designer Free

Steel Blue (SB) Designer Free

Forest Green (FG) Designer Free

Mid Grey (MG) Designer Free

Sand (SD) Designer Free

Bright Yellow (BY) Designer Free

Orange (O) Designer Free

Red (R) Designer Free

Sample Box Full Set Limited stock 2–4 week wait time Free

Wool

Camira Blazer Wool Sample

Free

02 - Aston CUZ0208 - Napier CUZ0809 - Oxford CUZ0912 - Winchester CUZ1213 - Wellington CUZ1318 - Oriel CUZ181E - Surrey CUZ1E1F - Ulster CUZ1F1J - Aberlour CUZ1J1K - Camphill CUZ1K1L - Newport CUZ1L1M - Glasgow CUZ1M1N - Cardiff CUZ1N1P - Hull CUZ1P1R - Plymouth CUZ1R1T - Sheffield CUZ1T1W - Newcastle CUZ1W1V - Manchester CUZ1V1Y - Edinburgh CUZ1Y21 - Magdalene CUZ2126 - Knightsbridge CUZ2628 - Silverdale CUZ282Q - Dartmouth CUZ2Q2R - Stanford CUZ2R2S - Barnard CUZ2S2T - Holyoke CUZ2T2U - Vassar CUZ2U2W - Eynesbury CUZ2W2X - Penola CUZ2X2Y - Tyndale CUZ2Y2Z - Woodcroft CUZ2Z30 - Silcoates CUZ3031 - Trevelyan CUZ3133 - Latymer CUZ3335 - Bromsgrove CUZ3539 - Goldsmith CUZ393A - Montcrest CUZ3A3B - Abertay CUZ3B3C - Marymount CUZ3C3D - Barlborough CUZ3D3E - Scottsdale CUZ3E47 - Fairfield CUZ4753 - Bryanston CUZ5358 - Dunhurst CUZ5862 - Glenalmond CUZ6263 - Handcross CUZ6367 - Kingsmead CUZ6782 - Wesley CUZ8286 - St Andrews CUZ8690 - Edge Hill CUZ90

Camira Blazer

Camira Blazer Wool Swatch CardFree

Panzeri

Panzeri Samples

Panzeri SamplesFree

Submission Details

Sample request notes

Agent Details

Agent Name(Required)

First Last

Agent Company(Required)

Agent Email(Required)

Delivery Address

Recipient Name(Required)

First Last

Recipient Company(Required)

Recipient Email(Required)

Delivery Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Project Details

Let us know more about your project so we can provide a tailored service to you.

Project Name(Required)

Project Sector(Required)

WorkplaceEducationHospitalityHealthcareRetailOther

Project Notes