Paint Color Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Add your best contact to reach you.
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
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Maine
Maryland
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New Hampshire
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New York
North Carolina
North Dakota
Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What type of building is this?
*
Please Select
Single Family
Duplex
Triplex
Fourplex
Townhouse
Semi-Attached
Multi-Family
Condominium
Commercial/Industrial
Note: Duplex (must be painted same color)
Subdivision/Complex Name:
Homeowner Association?
Yes
No
If yes, please consult with your HOA for their approval, if necessary.
Base Color
Select One
Paint Brand
*
Please Select
Sherwin Williams
BEHR
Benjamin Moore
PPG
Other
select paint brand
Paint Code & Color Name
*
Example: SW6099 Sand Dollar
Other Paint Brand
Secondary Color
Select One (max. 25%)
Do you have a secondary color?
*
Yes
No
Secondary Paint Color
Please Select
Sherwin Williams
BEHR
Benjamin Moore
PPG
Other
select paint brand
Secondary Paint Code & Color Name
Example: SW6099 Sand Dollar
Other Secondary Paint Brand
Trim
Select One (max. 5 - 10%)
Are you painting the trim?
*
Yes
No
Trim Paint Brand
Please Select
Sherwin Williams
BEHR
Benjamin Moore
PPG
Other
select paint brand
Trim Paint Code & Color Name
Example: SW6099 Sand Dollar
Other Trim Paint Brand
Front Door
Select One
Are you painting the front door?
*
Yes
No
Front Door Paint Brand
Please Select
Sherwin Williams
BEHR
Benjamin Moore
PPG
Other
select paint brand
Front Door Paint Code & Color Name
Example: SW6099 Sand Dollar
Other Front Paint Brand
Garage Door
Select One
Are you painting the garage door?
*
Yes
No
Garage Door Paint Brand
Please Select
Sherwin Williams
BEHR
Benjamin Moore
PPG
Other
select paint brand
Garage Door Paint Code & Color Name
Example: SW6099 Sand Dollar
Other Garage Paint Brand
Roof Color
Select One
Are you painting the roof?
*
Yes
No
Roof Paint Brand
Please Select
Sherwin Williams
BEHR
Benjamin Moore
PPG
Other
select paint brand
Roof Paint Code & Color Name
Example: SW6099 Sand Dollar
Other Roof Paint Brand
Other Areas
Select One
Are you painting anything other than your home (driveways, fences, privacy walls)?
*
Yes
No
Location (s)
other locations that will be painted
Areas Paint Brand
Please Select
Sherwin Williams
BEHR
Benjamin Moore
PPG
Other
select paint brand
Areas Paint Code & Color Name
Example: SW6099 Sand Dollar
Areas Paint Other Brand
Are you hiring someone to do the work?:
*
Yes
No
Phone Number
Company/Contractor Name:
Please submit the following with your application
Current photograph of the building identifying where the proposed colors are to be used
*
Browse Files
Drag and drop files here
Choose a file
Max. File Size 25MB
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of
Color Swatches
*
Browse Files
Drag and drop files here
Choose a file
Max. File Size 25MB
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of
For duplexes (attached & semi-attached), multi-family, commercial, and industrial buildings, please include pictures ( JPG, JPEG or PDF) of adjacent buildings
*
Browse Files
Drag and drop files here
Choose a file
Max. File Size 25MB
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of
By typing my name in the below space, I am electronically signing this form. By signing this electronic form, I certify the information to be true, accurate, and complete.
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