To: PPG Customer Service From: Company: PPG Industries, Inc. 400 Bertha Lamme Dr. Cranberry Twp, PA 16066 Agency Name: United Way Agency Phone: Email: Unitedwaypaintorders@ppg.com Fax: Date: Total # of pages, including cover: Please summarize your order here: # of Interior Projects: # of Exterior Paint Projects: # of Exterior Stain Projects: Directions: Please complete the following donation request form and order form(s) for interior and exterior paint and stain projects. If you have more than one interior, exterior paint, or exterior stain project, please make copies of the appropriate form and send back a separate form for each specific project. Once the forms are complete, please summarize your order above. Please email all completed order forms along with this cover sheet to unitedwaypaintorders@ppg.com. Please note the deadline for orders is July 31st. Once your order is received, you will receive an email confirmation within a week. PPG may limit the amount of product or projects donated. Please make sure to write your agency name at the top of each sheet of your order. Please direct any questions to Adelaide Agyemang at volunteer@uwac.org. Agency Name: PPG United Way Paint Donation Request Form 2013 Please note the Deadline for orders is July 31st, 2015 Date form completed : 1. Provide the following details about your agency: Agency Name (required): Primary Contact (required): Address #1 (required): City/Town (required) : ZIP/Postal Code (required): County (Allegheny or Westmoreland): Email Address (required): Phone Number (required): 2. Project Information: Location Name: Project Date: Project description (i.e. 'paint inside room'): # Volunteers: Address #1 (Paint/Stain shipment): Delivery Contact Name: Contact Phone: Hours for Delivery: Call for an appointment (Yes/No): Agency Name: Step 1: Measure the surface areas of the walls being painted. Divide your surface area by 400 to determine how many gallons you will need. Round up to the next gallon. Ex: 600 sq.ft. 600/400=1.5 gallons. Order two gallons of paint to cover 600 sq.ft. of wall area. *For Solid Color Stain divide surface area by 350, for semi-transparent divide surface area by 250. We need ____ gallons Step 2: Select the type of product. ☐Interior ☐Exterior ☐Stain – If choosing stain skip Step 3 & Step 4 Step 3: Select the sheen. ☐Flat ☐Eggshell (interior only, not available exterior) ☐Satin ☐Semi-Gloss Step 4: Select your color. ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Step 5: Choose the type of stain and color (Stain Orders Only) ☐Solid Color (two coats) OR ☐Semi Transparent (one coat only) AND select color ☐Cedar ☐Redwood/Rustic Cedar (reddish color) ☐Clear (Only available as a penetrating stain)