Georgia Carpet Industries Logo

Flooring Sample Order Form

Note: Three swatches are free, additional samples are $5.00 each. Samples will be shipped by FedEx. Please let us know the Style Name & Colors you want to order.

Please fill out required fields *

Style Name and Color Info *

Example: 4A229 Atlantic I 953 Russet

Flooring Amount Needed *

Example: 1,500 sq ft, 1,500 sq yd, 1,500 Lineal Feet (12 ft width)

Name and Contact Information:

First Name *
Last Name *
Phone *
Email *
Confirm Email *
Company Name

Mail To:

Mailing Address *
City *
State *
Zip Code *

Ship To:

Check this box if Mailing Address and Shipping Address are the same.
Shipping Address *
City *
State *
Zip Code *

Additional Comments: (Optional)

Leave Us Your Feedback or Ask a Question Below...


Remodeling and Home Design
All prices are in USD and subject to change without notice and are Subject to Availability.

We do not accept Discover Card.

NOTE: Product colors may vary by screen monitor.
No unauthorized returns will be accepted.
For approved returns there is a 25% restock fee.
All approved Returns must be returned within 60 days of purchase of material.