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Domestic Manufacturer of Vinyl Sealed Products
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Sample Request Form

Thank you for your interest in MENDA products. No-charge samples of our products are available for testing/review purposes for qualified applications. To determine if your application qualifies, please complete and submit the form below.

Please enter the following information for each item(s) you are interested in:*
Part No. and/or Description [ ]   Sample Quantity [ ]   Potential Order Quantity [ ]   When will you be ordering this item? [ ]

Additional Information and/or Sample Reason:

Please enter the shipping address you would like sample(s) sent:

E-mail Address*
Address 2
City: *
State/Province: *
Zip/Postal Code: *
Country: *
Phone Number*

Are you a Distributor?*

Will these items be resold?*

*Required fields.

All samples are processed at Desco Industries Inc (DII) discretion.