In which production will it be used?*
Please check boxes as applicable:*
What is the proportion of the raw material, the sample of which has been requested, in the final product in which it will be used?*
(E.g.: 10%)
What is the approximate period for completion of the sample analysis? (Specify in days)*
What is the annual predicted use amount, in case the analysis has a positive outcome?*
Sample Request Form Clarification Text
Sample Request Form Explicit Consent
