Summit Brick Company | Dealer Login

Sample Request Form – Pueblo Plant

Please complete the form below if you would like to request a sample.

Date *

Sales Person *

Job Name *

Contractor/Architect *

Ship to *

Attention

Address *

Ship via (freight charges may apply) *

Sample Type *

Name *

Size *

Texture *

Quantity *

Caution

Please be aware that not all colors may come in every texture and size.

Ordered By *

Phone Number *

Order Notes

Sample Request Form – Lakewood Plant

Please complete the form below if you would like to request a sample.

Date *

Sales Person *

Job Name *

Contractor/Architect *

Ship to *

Attention

Address *

Ship via (freight charges may apply) *

Sample Type *

Name *

Size *

Texture *

Quantity *

Caution

Please be aware that not all colors may come in every texture and size.

Ordered By *

Phone Number *

Order Notes

Submittals Form

Please complete the following form in order to receive the following information: Testing, MSDS, Cleaning Recommendations, Certification letter, LEED forms.

Name *

Company Name *

Address *

Project Name *

Project Address *

Architect

General Contractor

Brick

Name of Brick *

Size *

Type *

Order Notes

Shipping Release – Pueblo Plant

In order to process your order for a shipment a formal shipping release is required. Once a shipping release is received, a 3-4 day advance notice is appreciated for proper packaging and staging.

PO Number *

Order Number *

Address *

If Customer Trucking:

Truck Name

Estimated Date for Pick Up

Requested By:

Distributor Contact

Distributor Name / Location

Shipping Release – Lakewood Plant

In order to process your order for a shipment a formal shipping release is required. Once a shipping release is received, a 3-4 day advance notice is appreciated for proper packaging and staging.

PO Number *

Order Number *

Address *

If Customer Trucking:

Truck Name

Estimated Date for Pick Up

Requested By:

Distributor Contact

Distributor Name / Location

If you are having issues filling out any of the forms, please contact us directly for assistance. Thank you for choosing Summit Brick Company, and we looking forward to hearing from you!

Dealer Submission Forms

Sample Request Form – Pueblo Plant

Caution

Thank you! We Appreciate Your Business.

There was an error, please try again

Sample Request Form – Lakewood Plant

Caution

Thank you! We Appreciate Your Business.

There was an error, please try again

Submittals Form

Thank you! We Appreciate Your Business.

There was an error, please try again

Shipping Release – Pueblo Plant

Thank you! We Appreciate Your Business.

There was an error, please try again

Shipping Release – Lakewood Plant

Thank you! We Appreciate Your Business.

There was an error, please try again

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For over 100 years, Summit Brick Company has made it our mission to commit to customer service and provide beautiful, high quality clay masonry products which inspires architectural elegance.