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Sample Request/Inquiry Form

625 N. Michigan Avenue #1700, Chicago, IL 60611 (312) 642-1750

If you would like a product sample or literature, please complete and submit the following form.

* = Required Fields

*Literature or Samples

Literature

Samples

Both

What types of products are you interested in? What properties are you looking for?

Which of our products are you interested in?

*Name

*Company

*Address

*City

*State/Province

*Country

*Postal Code

*Email

*Telephone

If possible, please fill out below:

Potential Quantity per Month

KGS

How long do you need for your evaluation?

Weeks

What kind of tackifier(s) are you using now?

Please contact me as soon as possible regarding this matter