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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Michigan
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New Hampshire
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New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
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 your 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 your 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 your 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 your 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
If you are hiring someone to do the work:
*
Yes
No
Phone Number
Company/Contractor Name:
Please submit the following with 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
Cancel
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
Privacy Policy
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By typing my name in the below space, I am electronically signing this form. By signing this electronic signature certifies the information to be true, accurate, and complete.
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