Required to be completed in full to receive approval for samples. 
(Cryotech may deny any sample request based on the best interest of the company)

Please note: There is a 5-7 day lead time for samples after the request is approved and the order is placed.

If shipping outside the US, sample requestors will need to complete an additional form to proceed.

All Samples must be paid by credit card
Product	Quantity		Price
Solid	1 lb		$250 plus tax & shipping
Solid	25kg (55 lb) bag		$500 each plus tax & shipping
Liquid	1 gallon		$250 plus tax & shipping
Liquid	5 gallon pail		$500 each plus tax & shipping

Sample Product Request

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