Sample Request

Physical Sample Requests

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 *

Product *

Name *

First

Last

Shipping Method *

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

Email *

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

Shipping Address - Physical address required for UPS/FedEX *

Line 1

Line 2

City

State

Zip Code

Country

Shipping Account # *

Specific Requests *

Phone Number *

Submit

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