SAMPLE REQUEST

Please fill out the following form to request a product sample. Requests will be processed in the order they are received. A confirmation e-mail message will be sent indicating the successful submission to colorMaker. You may be contacted within a few days should we have questions about the request. Otherwise, in two weeks you should receive a sixty gram (60g) sample of the requested natural color blend. All samples from colorMaker include Product Specifications, a Material Safety Data Sheet, Pricing, and, whenever possible, recommended use levels.

This information will be kept confidential and disclosed to only those employees who need it in order to properly reply to your request.

* First Name
* Last Name
* Company
* Address
* City
* State/Region
* Mailing Code/Zip
* Country
* Phone
Fax
* E-mail
Web Site
Color needed (final hue)
Background color (starting hue)
Type of product to be colored
How will the consumer use it?
Can you supply a color target?

Can you supply an uncolored product sample?
Yes  No 
Product attributes (select characteristics for each attribute):
Form is: 
Liquid  Powder 
Product: 
Aqueous  Oil-based  Emulsion 
pH: 
 
Precise value, if known, or a range;
otherwise please provide us with a best guess below
 
  Acid  Neutral  Basic 
Process: 
Frozen
Baked 
Pasteurized 
Ambient
Fried 
Extruded 
If heated, what is: 

Time:

Temperature:


Package: 
Clear Opaque 
Distribution:
Frozen  Refrigerate  Ambient 
Shelf Life: 
< 6 mos.  1 year  > 1 year 
Kosher: 
Yes  No  Not Important 
Halal: 
Yes  No  Not Important 
Special Notes:
If you entered a valid e-mail address above,
you should receive an automated e-mail confirming
the details and receipt of your sample request.


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