Request a Sample

To request a sample, enter the product information in the table below or select "Request a Sample" from a product page. If you leave this page, your work will be saved. To complete the request, fill out the entire form and click "Submit".

Sample Guidelines

  • Sample requests are reviewed within 48-72 business hours & are processed in the order they were received.
  • To have samples shipped EXPEDITED or OVERNIGHT; please submit your sample request & call our Sample Coordinator 630.629.6600 before our 11:00 am (cst) parcel deadline.
  • Customers are required to pay shipping costs.
  • Product sample requests are based on product availability. Restriction may apply.
  • 1 sample per Part#
  • Max limit of 4 different Part #’s
  • Samples are fulfilled to qualified business requests only.
  • Please provide valid business contact details when completing this form.

**Failure to complete this form in its entirety can delay your sample request.**
Please contact [email protected] for assistance in finding the best product to suit your needs.

  • Max limit of 4 different Part #’s (If more are needed please contact our Sales Department)
  • 1 sample per Part# (If more are needed please contact our Sales Department)
  • Samples are usually free, but we do ask you to pay for shipping
  • Samples are for businesses only.
  • Any questions contact us for assistance in finding the best product to suit your needs
  • Sample requests are processed within 48-72 business hours

Products

Part # Description Sample Qty Add/Remove
68W23U 24mm 24-410 Blue Ribbed (Matte Top) Plastic Cap w/Foam Liner (3-ply)
Enter a Part #

Contact Information

Billing Address

Shipping Address

  • If you do not have a shipper account, a representative will contact you to capture payment for any applicable shipping charges.