Flooring Sample Request Form

FLOORING SAMPLE REQUEST FORM

Parties and Recitals

Supplier Name:   Client Name:

WHEREAS, Supplier is engaged in the manufacture and distribution of flooring materials and related samples designed for evaluation and selection by prospective purchasers; and

WHEREAS, Client desires to receive specified flooring samples for evaluation at the Project Site and agrees to the terms, payment obligations, and confidentiality provisions described in this form; and

WHEREAS, the parties intend this document to govern the provision, use, return, and payment for those flooring samples without creating a purchase obligation for full production orders unless otherwise agreed in writing by both parties.

Requester Contact & Project Information

Sample Selection

Product Code:   Color/Finish:

Shipping & Handling

Shipping Method: Ground Express Customer Pickup

Scope of Work

The Supplier shall provide the physical samples described above for Client inspection and selection. Samples are for evaluation only and are not materials for installation unless a separate purchase order is executed. Client may use samples for mock-up or on-site fitting but shall not represent samples as final-material shipments.

Payment Terms

Sample Fee (per unit): $   Shipping & Handling: $

Late Fee: Payments not received within days of invoice will incur a late fee of per month on the outstanding balance.

Credit Card Check Net Account / Invoice

Term and Termination

Term Start Date:   Term End Date:

Either party may terminate this Sample Request upon written notice to the other party given at least days prior to termination. Termination does not relieve Client of payment obligations for samples already shipped or processed prior to the effective termination date.

Confidentiality

All non-public technical information, pricing, product specifications, and test results ("Confidential Information") disclosed by Supplier to Client in connection with the samples shall be kept confidential by Client and shall not be disclosed to third parties without Supplier's prior written consent, except to Client's employees or contractors who have a need to know and who are bound by confidentiality obligations no less protective than those contained herein. Confidential Information shall not include information that is publicly available without breach of this Agreement or that the Client can demonstrate by contemporaneous written record was known prior to disclosure.

Sample Use, Ownership, and Return

Title to physical samples remains with Supplier unless otherwise agreed in writing. Client shall not dispose of proprietary samples without Supplier consent. If Supplier requests return of samples, Client shall return them at Client's expense within days of notice. Samples damaged through misuse or negligence may result in charges equal to replacement cost.

Governing Law & Entire Agreement

Governing Law: This agreement shall be governed by and construed in accordance with the laws of the state identified by Supplier at the time of execution, without regard to conflict of law principles. The parties agree that exclusive jurisdiction for disputes shall lie in the state or federal courts located in that state.

Entire Agreement: This form, together with any written attachments or approved purchase orders signed by both parties, constitutes the entire agreement between Supplier and Client with respect to the provision and use of flooring samples and supersedes all prior negotiations, representations, or agreements, whether written or oral.

Acknowledgment & Certifications

By signing below, Client certifies that the information provided on this form is true and accurate, that Client has authority to request samples on behalf of the identified project, and that Client accepts the payment, shipping, confidentiality, and return terms set forth herein.

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