Request a Sample
When requesting samples, please fill in the required information below ( required information notated with a *). Samples are free for a limited quantity based on pen style. We will contact you if you have excedeed the amount. You also have the option to purchase a Sample Kit. Click here to view our sample kits
 

Your Company Name

   *  
 

Your First and Last Name

  *  
 

Your Email Address

   *  
 

Your Business Address

  *  
  Ship To Address   *    
 

Your Phone Number

  *  
 

Your ASI / PPAI / SAGE or UPIC #

  *  
 

Corporate Headquarters Zip Code   

  *  
 

Shipper Account Number (UPS or FedEx/Account Number)  

  *  
Sample1 :
 

Item Requested Name

  *  
 

Item #

  *  
 

Preferred Color

   *  
 

Is this color mandatory ?

                       
 

Quantity Needed

  *  
Sample2 :
 

Item Requested Name

   
 

Item #

      
 

Preferred Color

    
 

Is this color mandatory ?

                       
 

Quantity Needed

   
Sample3 :
 

Item Requested Name

   
 

Item #

   
 

Preferred Color

    
 

Is this color mandatory ?

                       
 

Quantity Needed

   
Sample PO#  
Notes / Special Instructions  
   

Samples are shipped within 48 hours and are shipped within United States and Canada via your specified shipment method (e.g., your FedEx shipper Account Number). If a sample request needs to be expedited, please advise of the desired in-hands date.

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