Request A Sample

Thank you for your interest in our products

You are required to pay a flat rate shipping fee of $7.00. If you choose to place a subsequent order with us, we will deduct the sample shipping charges from the shipping charges on your new order. Please note, not all items are eligible and we do not ship using collect carriers for samples. International shipments have a $100 merchandise minimum and are not eligible for sample.

First Name

Last Name

Title

Email Address

Phone Number

Company name

City

Province / State

Product Information

Product 1 Item#

Product 1 QTY each

Product 2 Item#

Product 2 QTY each

Product 3 Item#

Product 3 QTY each

Product 4 Item#

Product 4 QTY each

Product 5 Item#

Product 5 QTY each

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