Sample Request Form

Sample Request

Pack-Tubes Studio

Request Date

First name

Last name

Phone

Company Name

Company Website

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.

Tube Size

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

Fedex Account Number or DHL Express Account Number

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

Shipping Instructions:

If providing your FedEx 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.

Signature

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Sample Request

Sample Request Form

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