Extended Sample Request Form | Pack-TubesStudio

Extended Sample Request
(Up to 34, $240 fee)

Request Date

Name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

I acknowledge that I am requesting a supply of four (4) aluminum tube samples, made of 99.7% purity aluminum, provided blank, empty, and open with the specified enclosures or caps from Pack-Tubes free of charge. I understand that these samples are intended solely for conducting our internal stability and compatibility tests related to any products or formulas that will come into direct contact with the supplied aluminum tubes.

I acknowledge that if additional samples are required, I agree to pay the US $240.00 fee to PACK-TUBES for up to thirty (30) additional tube samples based on the specified filling capacity and measurements, excluding shipping and handling. I authorize PACK-TUBES Studio to charge our account for this special delivery request. NOTE you must pay via credit card, paypal, ACH, etc

Tube Size

Note that there is limited cap options depending on the tube size you choose.

UPS, Fedex, DHL Express, etc Account Number

By entering my account number, I authorize Pack-Tubes to charge shipping costs to this account.

Shipping Instructions:

If providing your FedEx, UPS, or DHL account number, please create a shipping label on the carrier’s website and email it to us at info@pack-tubes.com. This ensures we can ship your samples using your account while you retain full control of the shipment.

30 Additional Tube Samples

$240

Signature

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Extended Sample Request (Up to 34, $240 fee)

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Extended Sample Request
(Up to 34, $240 fee)