Sample Request

Sample Kit Request

We are happy to send random physical samples or custom virtual samples to qualified industry distributors.
Please complete the appropriate form below.

Sample Kit Request Form

* Indicates required field

Company Name *

ASI, PPAI, SAGE or Industry Number *

Name *

First

Last

Email *

Shipping Method *

Ground (USPS) 2nd Day (customer account) Overnight (customer account)

Shipping Account # required for expedited shipping & any shipments outside the USA.

Shipping Account # *

Shipping Address - Physical address required for UPS/FedEX *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Specific Requests *

Submit

For spec samples go to: https://www.dmdpromos.com/specsamples.html