Complete this form to apply for a rebate on the purchase of the original colour.
First Name
Last Name
Street Address
City
Province
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Postal Code
Email
Confirm Email
Phone Number
1st Colour
Ex. Pumpkin Custard 2005-1A
Why didn't you love your colour?
2nd Colour
Ex. Sonic Plum 4002-10C
Upload a photo of your wall with both paint colors on it, as well as images of your 1st and 2nd purchase receipts.
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