Sample Request Form

All requests will be verified prior to shipment. PLEASE ALLOW 2-4 WEEKS FOR SAMPLES TO ARRIVE. For additional information on other products in our catalog, please contact Customer Service directly at 1-800-621-4025 or 1-847-956-7600 .

FOR CUSTOMERS OUTSIDE THE US AND CANADA PLEASE CONTACT CUSTOMER SERVICE DIRECTLY BY EMAIL.

If you would like a trial sample of any other Tempil product not listed, please email [email protected]. Please include product name, description of your marking application and reason for trial sample. Also include your name, company name, contact phone and shipping information. All requests will be verified prior to shipment.

***Please note samples are limited to one per customer and/or address.

Required Field

First Name:

Last Name:

Company Name:

Job Title:

Business Address:

Business Address 2:

City:

Country:

State/Province:

ZIP/Postal Code:

Email:

Website:

Please describe how you are going to use the requested Tempil product:

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Business Phone Number:

Business Fax Number:

Product(s) to Sample:

How did you hear about Tempil?: