BAUWERK will send you up to five sample pots. Simply fill in the details below and we will call you within 24 hours to arrange delivery and payment.

TITLE (Mr, Mrs, Ms, Dr etc) FIRST NAME LAST NAME

EMAIL ADDRESS

PHONE NUMBER

ADDRESS

CITY

STATE

POSTCODE

COUNTRY

SELECT COLOURS Please enter the colour codes of the five sample pots you wish to order. You will find the colour codes in the Colour Lab. Colour codes should be entered exactly as shown in the Colour Lab. For example, 20/22. Colour 1: Colour 2: Colour 3: Colour 4: Colour 5:

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