Historic Timber and Plank
Creating Unique Interiors from Historic Timbers
Representative Name: (required)
Date Requested: (required)
Project Name: (required)
Date Due:
Shipping Address (required)
Company Name
Attention
Physical Address
City, State, Zip
Phone Number
E-mail Address
Description of requested Sample (required)
Application
—Please choose an option—FlooringWall PanelCeilingTable TopOther
Species
—Please choose an option—White OakHickoryWalnutMapleHeart PineAshRed OakReclaimed Mixed Species
Profile
—Please choose an option—Not MilledTongue & GrooveShip LapStandardContemporaryBeveled
Size
Color/Finish
Notes
Please retype this code in the box provided.