Name:

Project Location:

Surface 1:
(Example: Driveway, Patio, Front Walk, Stoop, Etc.)

Integral (Main) Color 2:---U10 Sonoran TanU11 Autumn OakU26 Lanon StoneU20 SmokeU21 SandstoneU12 Sunset BeigeU13 MillstoneU31 Weathered Terra CottaU22 Salt Marsh GrayU23 Dusty RoseU35 Shadow SlateU51 Clary SageU24 Georgia ClayU15 Coral BuffU16 Harvest WheatU37 SiennaU27 Mocha BrownU25 Santa Fe BuffU33 Hampshire RedU34 Brick RedU14 PewterU18 Gull GrayU28 CharcoalU49 Deep Charcoal

Release Color 1:---R23 SmokeR12 Storm GrayR13 Deep CharcoalR11 Gray PlumR28 Slate GrayR26 Cape Cod GrayR32 BoneR24 French CreamR29 WheatR22 Arena BuffR25 Colina TanR14 WalnutR19 RussetR15 Brick Red

Stamp Pattern 1 (Including Part No.):
(Example: Verona Cobblestone BST5400)

Surface 2:
(Example: Driveway, Patio, Front Walk, Stoop, Etc.)

Integral (Main) Color 2:---U10 Sonoran TanU11 Autumn OakU26 Lanon StoneU20 SmokeU21 SandstoneU12 Sunset BeigeU13 MillstoneU31 Weathered Terra CottaU22 Salt Marsh GrayU23 Dusty RoseU35 Shadow SlateU51 Clary SageU24 Georgia ClayU15 Coral BuffU16 Harvest WheatU37 SiennaU27 Mocha BrownU25 Santa Fe BuffU33 Hampshire RedU34 Brick RedU14 PewterU18 Gull GrayU28 CharcoalU49 Deep Charcoal

Release Color 2:---R23 SmokeR12 Storm GrayR13 Deep CharcoalR11 Gray PlumR28 Slate GrayR26 Cape Cod GrayR32 BoneR24 French CreamR29 WheatR22 Arena BuffR25 Colina TanR14 WalnutR19 RussetR15 Brick Red

Stamp Pattern 2 (Including Part No.):
(Example: Verona Cobblestone BST5400)

Additional Notes:

By checking this box I give G-Cat Construction the permission to use the color choices above for the proposed stamped concrete project. I understand that colors chosen from the Butterfield color chart represent formulations using medium gray cement. Variations can be expected due to differences in cement, aggregate and method of application.