Order Stain

This form is intended for contractors who have purchased Nichiha Sierra Premium products from a local dealer and are requiring touch up stain.
 

Contractor Name:

Name of person ordering stain:

Dealer Name:

Dealer Location:

Location #:

Project Name:

Delivery Address:

(will not ship to PO Boxes)

Street:

City:

State:

Zip:

Phone:

Cell:

Choice 1
# Quarts:


Maple

Mahogany

Caramel

Redwood

Weathered Gray

Emerald Wheat

Macadamia

Charcoal Grey