Name * Email * Phone number * Occupation * - Select -UCL sales repUCL authorized dealerDesigner or architectDesign studentConsumer UCL Sales Rep ID * Do You Have a UCL Account * Yes No UCL Account Number * Company Name * School Name * Instructor's Name * Course * Project Due Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20122013201420152016 How are you "Unique" * Quality Conscious Environmentally Conscious Both When do you plan to purchase your carpet or rug? * One Month Three Months Six Months Are you working with a professional? * Yes No We require all consumers that request samples to work with a professional. Can we recommend one? * Yes No Are you currently working with * Interior Designer or Architect Retail Flooring Store Licensed Contractor Other Please explain Company Name * Where should we send your samples? Their Contact Info Address City State Zip Code * Samples requested No samples requested. If you do not see any samples to request on this page, make sure you have clicked the "Request sample" link(s) next to each colorway of interest as you are browsing the site. Project name or sidemark * Questions or comments Don't want to request samples? Contact us. Subject * General InformationAdditional Product InformationLocal Product AvailabilityInterested in Becoming a Dealer When do you intend to purchase your carpet? Next two months Next 6 months Next year Do not know Message Want to request samples? Browse our collections.