FLORATECH “FLORA” HARD PARTICLES SAMPLE REQUEST FORM
Company Name:
Date:
QTY
Zip:
Ctry:
®
_________________
Ship Via:
_________________
Ship Date:
_________________
LBS#:
_________________
BOX DIMS:
_________________
®
_____ K-20W / K-100
Phone:
Rec’d By:
_____ Particles
Email:
DHL
_____ Florasun® 90
Application:
Small Jar 50G
Large Jar 250G
SHIPPING INFORMATION
Required Receipt Date:
_____ Floraesters®
Contact:
60/100 ONLY IN WHITE
BROCHURES
_____ General Catalog
City:
Standard Colors
Invoice #:
PRODUCT SPECIFICATIONS, SDS & PIB ARE INCLUDED WITH EVERY SAMPLE SHIPMENT
Address:
State:
Sample SO#:
FLORABEADS® JOJOBA
COLORS AVAILABLE - 28/60
QUANTITY
SMALL LARGE
LOT #
FLORAPEARLS® JOJOBA
LOT #
UPS
TNT ACCT #:_____________
FLORABEADS® CARNAUBA
STD=1000 MICRONS
QUANTITY
SMALL LARGE
FEDEX
FLORABEADS® RBW
ONLY AVAILABLE IN NATURAL 28/60
QUANTITY
SMALL
LARGE
LOT #
ONLY AVAILABLE IN NATURAL 28/60
QUANTITY
SMALL
LARGE
LOT #
White 28/60
White 40/60
COLOR NOT AVAILABLE
White 60/100
COLOR NOT AVAILABLE
DEMO FORMULA #
Arizona Sky
B016
Brick Red
AND
DESCRIPTION
QTY
BATCH #
Florasomes/Floraesters: K100 Moisturizing Warming Mask
Burnt Orange
Café Ole
Desert Rose
Evergreen
COLOR NOT AVAILABLE
Gypsy Rose
Apache Rose
NON-STANDARD QUANTITY
COLOR NOT AVAILABLE
QTY IN GRAMS
LOT #
Iron Blue
Jade
Jasmine
Lapis
Maize
SPECIAL INSTRUCTIONS / COMMENTS / OTHER PRODUCTS
Merlot
Oasis Verde
Onyx
Sapphire
COLOR NOT AVAILABLE
Sonora Sand
Sunburst Orange
Tequila Sunrise
Tiger Lily
COLOR NOT AVAILABLE
TRACKING #:_____________________
Topaz
SD02w
SOP: Sample Department
Compare all printed documents with “Control Document” to verify that the current revision level is used.
FRT. $:________________