Request Form

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Details of the Person Requesting the Sample

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Company Information

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  • Have you worked with Ak-tas before?

Sample Details

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  • Please check boxes as applicable:
  • What is the proportion of the raw material, the sample of which has been requested, in the final product in which it will be used? *
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  • What is the approximate period for completion of the sample analysis? (Specify in days) *
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  • What is the annual predicted use amount, in case the analysis has a positive outcome? *
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