Bricks Sample Request Form

Please complete this form to let us know which samples you would like. Due to the high courier cost in sending them out, we cannot supply them free of charge in all cases.

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I'd like to receive the following brochures

Ketley Brick Brochure:
Ketley Special Shape Bricks:
Ketley Clay Pavers and Fittings:
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Choose Samples

Class A Facing Brick Sample 1:
Class A Facing Brick Sample 2:
Class A Facing Brick Sample 3:

Please complete details of your project in the space below, together with quantities and timescales if possible. We may need to contact you prior to sending samples out to confirm your requirements, so please provide your day time contact details with your sample request. Please also note there is a substantial courier cost to send out samples and we cannot supply samples free of charge in all cases.

Type of Work:*
Expected start date:*
More project information:
Approx Square Metre of product required:*
Customer type:*
Name:*
Address:*
Postcode:*
Email:*
Tel:*

How did you hear about Ketley Brick?:*
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