Request a Sample | Elvacite

Items marked with an Asterisk ^* are required.

Personal Details

Company: ^* Job Title: ^* First Name: ^* Last Name: ^* Email Address: ^* Phone Number: ^*

Will the samples be shipped to you, or to someone else? Ship to me (same as above) Ship to another person (enter their details)

Sample shipped to:

Receiver Company Name: ^* Receiver Job Title: ^* Receiver First Name: ^* Receiver Last Name: ^* Receiver Corporate Email: ^* Receiver Phone (include Country Code): ^*

Shipping Information

Ship to Street Address ^* Ship to Country ^* Ship to City ^* Ship to Postal Code ^*

Other Potential Use Information

Business Segment: ^* Application: ^* Your estimated annual volume: ^*

Grade (Up to five)

Maximum number of grades added.

Additional information, requests or comments:

Standard sample size is 1 quart (approx. 500 grams).

Standard shipping is UPS Ground.

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