Sample requests

Sample Requests

Please use this form to request samples of our products.

There are four (4) items which MUST be completed:
1.) INTENDED APPLICATION (USE)
2.) QUANTITY (1 or 2)

NOTE:
We will provide 2 samples of almost any pouch that measuers 10" x 16" or smaller.
1 sample will be provided for any pouch larger than 10"' x 16".

We can provide larger quantities for a nominal fee. Please fill out the "Notes/Comments" section below with any special requests.


3.) UPS/FED EX ACCOUNT NUMBER (REQUIRED)     What if I don't have an account number?
4.) Complete shipping information including accurate telephone number, email and physical address.

Please allow 48 hours for sample orders to be processed. The shipping options below are all post-process. Thank you for your understanding.

Please fill out completely. Required fields are marked with an asterisk ( * )
*First Name:
*Last Name:
Company:
Title:
*Address 1:
Address 2:
*City:
*State/Province:
*Zip Code:
*Country:
*Telephone Number:
Ext
Fax Number:
*Email Address:
   
*Ship Via :




*Account Number:
What if I don't have an account number?
*Shipping Method:





Reference Number:
Please List the Sales  
Rep Who Assisted You:
Notes/Comments:
 
*Item Description:
*Part Number:
*Intended Application (Use) :
 
Item Description:
Part Number:
Intended Application (Use) :
 
Item Description:
Part Number:
Intended Application (Use) :
 



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Will Call
Custom Printing
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Mylar Bags
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Vacuum Bags
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Oxygen Absorbers
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Humidity Indicator Cards
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Chamber Sealers
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