Customer Information

Full name*

Email*

Phone*

Address Information

Address*

Project Type

Project Type*

Kitchen

Bathroom

Flooring

Other

Estimated Project Timeline*

Immediately

1–3 months

3–6 months

Just researching

Cabinet Door Samples

Sample 1:

Sample 2:

Sample 3:

Flooring Samples

Sample 1:

Sample 2:

Sample 3:

Countertop Samples

Sample 1:

Sample 2:

Sample 3:

Tile Samples

Sample 1:

Sample 2:

Sample 3:

Sample Loan Details

Loan Period: The standard sample loan period is 7 days.

Condition: All samples must be returned in their original condition, free of damage or alteration.

Ownership: All samples remain the property of Sarokey. Samples not returned within the loan period may be subject to a replacement fee of $25 per sample, charged to the authorized credit card on file.

Acknowledgment

I agree to return all samples in their original condition and understand that replacement fees may apply for damaged, lost, or unreturned samples.

Sample Care Authorization

We don’t charge anything upfront. The card is only used if samples are not returned after 7 days. Payment information is securely processed and not stored by Sarokey.

Cardholder Name*

Card Number*

Expiration Date*

CVV*

Billing Zip Code*

I authorize Sarokey to charge $25 per unreturned sample to the credit card provided if samples are not returned within 7 days.

I understand that my card will not be charged unless samples are not returned within the agreed loan period.

Signature*

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