Home » Contact us » Request a Brick Match
Please complete the form below to request a brick match. Fields marked with an asterisk (*) are required.
Your First Name *
Your Last Name *
Your Phone Number *
Company Name *
If you are an individual, please enter your full name here
Your Property Name/Number and Street*
Your City *
Your County *
Your Postcode *
Your Email *
Please select the option which best describes you: *
---ArchitectBuilders MerchantContractorDeveloperSelf Builder
Project Type *
Same address as above?
Site Property Name/Number and Street *
Site City *
Site County *
Quantity Required for Site *
At distance (approx 10 feet away from brickwork)
Allowed file formats: JPEG, PNG, GIF. Maximum file size: 4MB
Brick width (in mm)*
Brick height (in mm)*
Please leave this field empty.
We take your privacy very seriously and will only use the information provided above to contact you in relation to your enquiry.
For further details on how your data is used and stored, please view our privacy information.