Valspar Paint Request Form

Please use the following form to make order for touch-up paint. As you complete the form, you are required to make at least one paint order and can make up to five. You will receive a receipt via email for your order once your order is process. Your order will be processed and delivered within XX amount of business days.

If you have any questions or would like to order via phone, call us today at 616-456-8800. Thank you!

Returning Users

Enter your email address and password to pre-fill your contact info and address book.
Email		Password

Order Information

Order Total	—
Delivery Time	No Rush Quickly ASAP Before
Your First Name
Your Last Name
Your Email
Your Phone
Billing Address
Internal PO #
	You will be invoiced for the order the day of shipment.

Address Book

Address not yet specified.

Address Nickname
Recipient Name
Address line 1
Address line 2
City
State
Zip Code