Request a Sample - Imperial Handmade Bricks

Please complete the form below to request a sample which consists of a box of three bricks. Fields marked with an asterisk (*) are required.

Our samples service is based on a 5 to 7 working day turnaround.

CONTACT DETAILS

Your First Name*
Your Last Name*
Your Phone Number*
Company Name
Your Property Name/Number and Street: *
Your City*
Your County*
Your Postcode*
Your Email*
Sample Delivery Address (if different)
Select the option which best describes you*

SITE DETAILS

Project Type*

SITE ADDRESS

Same as above?

Site Property Name/Number and Street*
Site City*
Site County*
Site Postcode*
Quantity Required for Site*

BRICKS REQUIRED FOR SITE

Imperial Brick Type
(Hold Ctrl/Cmd and click to select multiple bricks)

Metric Brick Type
(Hold Ctrl/Cmd and click to select multiple bricks)

Quote required?

Quote details

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