Lab Designs Sample Registration
***THIS IS NOT A SAMPLE REQUEST FORM***
If you would like to request sample binders please copy and paste this link into your browser. http://www.labdesignlaminate.com/order-samples.html

Thank you for your interest in Lab Designs. In order to provide you with the most up-to-date samples and information please complete the following form upon receiving your samples.

***DISTRIBUTORS/REPS***
Please complete the following form when samples are sent out to your customers and prospects. Before ordering more binders, all previous binders must be accounted for via online registration

Customer Email Address *
Email address for the customer receiving the samples.
Your answer
Distributor/Rep Name *
if not applicable put N/A - Distributors and Reps MUST register binders before ordering more
Your answer
Company Name *
Your answer
Name *
Your answer
Address *
Your answer
Telephone
Your answer
Sample Type *
If you received more than one sample type please list them in the "other" category.
Submit
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