If you have questions about the application of a specific resin, please reach out to our experienced chemists and we will help ensure that the sample you are requesting best suits your needs.

Sample Request Form

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Sample Requester Information

Who is requesting this sample

Sample Recipient Information

Who will receive the sample(s)?
Recipient Name
Recipient Company Address
Please provide a building address. Samples cannot be sent to a P.O. box.

Sample Information

Please provide info regarding the sample(s) you would like to receive.
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Sample Request Quantity
Samples larger than 1 gallon require payment info, please contact USPA sales
If the resin sample you've requested is approved, approximately how much product do you anticipate using per year.
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