In order for Sherwin-Williams to make an accurate assessment in response to your request, we would appreciate it if the following questions were completed. The results of this form will assist us in determining the most efficient manner in which to proceed/accommodate your needs.

* bold fields are required.

Company Information:
Name of Company:
Title:
(choose one)		 Mr.    Ms.    Mrs.
First Name:
Last Name:
Street Address:
Mailing Address:
City:
State/Province:
Zip/ Country
Postal:
Country:
E-mail:
Phone Number:
Fax Number:
Website Address:
Business Operation:
Type of Business:
(choose one)
Distributor/Wholesaler
Trading Comany
Manufacturer
Paint Dealer/Retailer
Agent
Number of Employees:
Number of Sales Force:
Size of Warehouse:
Type and Number of
Customers You
Serve/Sell to:
Chainstores:
Independent Paint Dealers:
Contractors/Professionals:
Manufacturer's Paint Stores:
Harware Stores:
Home Centers:
Building Materials & Lumber Stores:
Products

List all paint products or brands handled by your company:

Which Sherwin-Williams products are you interested in?

Architectural

Industrial Maintenance / Marine

Aerosol

Other



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