Sample Bottle Request Order Form

If you would like sample bottles please fill out this form.  Use the bottle spec PDF sheet to assist you in completing the form.  Bottle name, Size, Resin, Neck Finish, and the number of samples requested are required to receive sample bottles.  Also, fields with an * are required.

First Name*   Last Name*   Company Name*   Street Address*    Street Addr (cont)   City*   State*   Province Zip Code*   Country Phone*   Fax E-mail*   How Did You Find Our Website?*   Please Make a Selection AltaVista Search Excite Search Google Search Lycos Search MetaCrawler Search Plastics Industry Magazine Plastics News Yahoo Search Other Other: Product/Service Request Sample Request Other Sample Request - Requests for up to 3 bottle names can be made at one time.  Please include the number of samples for each bottle you would like to receive.  Also, review the bottle spec sheet for the bottle(s) you would like samples of prior to filling out the request form.  The spec sheet for your specific bottle(s) provides complete information on bottle sizes offered.  Click here to go to the Stock Bottle home page to find your bottle(s). Bottle 1 Bottle Name   Make a Selection Aspen Barrel Bay Bell Beveled Boston Bottle Tube Chagrin - Fluted Chagrin - Ringed Champion Chesapeake Clark Classic Contoured Cornell Corporate Cresca Cylinder Cylinder II Cylinder III Cylinder IV Dairy Square Decanter Drug Flat Flat Panel Footed Barrel Grafton Handle Jug High Brow Honey Bear Keystone Modern Round Modern Square Modified Drug Oblong Raindrop Rome Royalton Sampler Saturn Sedona Sloped Snowman Straight Sided Tall Tall Tapered Tapered Tapered Cylinder Tapered Round Teardrop Teo Tube Terraced Tombstone Tremont Westlake Wide Panel Woozy Bottle Size   - .5 Oz .75 Oz 1 Oz 1.25 Oz 1.5 Oz 50 ML 2 Oz 100 ML 250 ML 3.5 Oz 4 Oz 5 Oz 5.5 Oz 6 Oz 200 ML 7 Oz 8 Oz 250 ML 9 Oz 10 Oz 300 ML 11 Oz 340 ML 12 Oz 400 ML 16 Oz 500 ML 17 Oz 23 Oz 24 Oz 32 Oz 1040 ML 64 Oz Resin   - PET HDPE LDPE PP PVC Barex PETG Neck Finish   - 13 / 415 13 / 425 15 / 415 18 / 410 18 / 415 18 / 415 Special 20 / 400 20 / 410 20 / 415 22 / 410 22 / 415 24 / 410 24 / 414 24 / 415 24 Special 28 / 400 28 / 400 Ratchet 28 / 410 28 / 415 28 Special 33 / 400 33 / 490 38 / 400 58 /400 70 / 400 83 / 400 38 / 400 SP # of Samples   - 1 10 20 30 40 50 75 100   Bottle 2 Bottle Name Make a Selection Aspen Barrel Bay Bell Beveled Boston Bottle Tube Chagrin - Fluted Chagrin - Ringed Champion Chesapeake Clark Classic Contoured Cornell Corporate Cresca Cylinder Cylinder II Cylinder III Cylinder IV Dairy Square Decanter Drug Flat Flat Panel Footed Barrel Grafton Handle Jug High Brow Honey Bear Keystone Modern Round Modern Square Modified Drug Oblong Raindrop Rome Royalton Sampler Saturn Sedona Sloped Snowman Straight Sided Tall Tall Tapered Tapered Tapered Cylinder Tapered Round Teardrop Teo Tube Terraced Tombstone Tremont Westlake Wide Panel Woozy                 Bottle Size   - .5 Oz .75 Oz 1 Oz 1.25 Oz 1.5 Oz 50 ML 2 Oz 100 ML 250 ML 3.5 Oz 4 Oz 5 Oz 5.5 Oz 6 Oz 200 ML 7 Oz 8 Oz 250 ML 9 Oz 10 Oz 300 ML 11 Oz 340 ML 12 Oz 400 ML 16 Oz 500 ML 17 Oz 23 Oz 24 Oz 32 Oz 1040 ML 64 Oz Resin - PET HDPE LDPE PP PVC Barex PETG      Neck Finish   - 13 / 415 13 / 425 15 / 415 18 / 410 18 / 415 18 / 415 Special 20 / 400 20 / 410 20 / 415 22 / 410 22 / 415 24 / 410 24 / 414 24 / 415 24 Special 28 / 400 28 / 400 Ratchet 28 / 410 28 / 415 28 Special 33 / 400 33 / 490 38 / 400 58 /400 70 / 400 83 / 400 38 / 400 SP # of Samples   - 1 10 20 30 40 50 75 100   Bottle 3 Bottle Name Make a Selection Aspen Barrel Bay Bell Beveled Boston Bottle Tube Chagrin - Fluted Chagrin - Ringed Champion Chesapeake Clark Classic Contoured Cornell Corporate Cresca Cylinder Cylinder II Cylinder III Cylinder IV Dairy Square Decanter Drug Flat Flat Panel Footed Barrel Grafton Handle Jug High Brow Honey Bear Keystone Modern Round Modern Square Modified Drug Oblong Raindrop Rome Royalton Sampler Saturn Sedona Sloped Snowman Straight Sided Tall Tall Tapered Tapered Tapered Cylinder Tapered Round Teardrop Teo Tube Terraced Tombstone Tremont Westlake Wide Panel Woozy Bottle Size   - .5 Oz .75 Oz 1 Oz 1.25 Oz 1.5 Oz 50 ML 2 Oz 100 ML 250 ML 3.5 Oz 4 Oz 5 Oz 5.5 Oz 6 Oz 200 ML 7 Oz 8 Oz 250 ML 9 Oz 10 Oz 300 ML 11 Oz 340 ML 12 Oz 400 ML 16 Oz 500 ML 17 Oz 23 Oz 24 Oz 32 Oz 1040 ML 64 Oz Resin - PET HDPE LDPE PP PVC Barex PETG Neck Finish   13 / 415 - 13 / 425 15 / 415 18 / 410 18 / 415 18 / 415 Special 20 / 400 20 / 410 20 / 415 22 / 410 22 / 415 24 / 410 24 / 414 24 / 415 24 Special 28 / 400 28 / 400 Ratchet 28 / 410 28 / 415 28 Special 33 / 400 33 / 490 38 / 400 58 /400 70 / 400 83 / 400 38 / 400 SP # of Samples   - 1 10 20 30 40 50 75 100   Comments