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Request a Product Sample

 

Download our product sample request form

Elvex© will be pleased to send free evaluation samples of select products to qualified customers for evaluation. In order to qualify for your free samples, your company or department must have 50 or more employees.

Product Sample Request Excel Form

  Product Sample Request PDF Form

Please fill out the form above with all of the required information. For products other than safety glasses, please explain your request in the comments area of the form below.

After filling out the form please e-mail it to Info@Elvex.com or fax to 203.791.2278 and will be happy to process the request

If you don't have Adobe Acrobat Reader, you can download it for free, by clicking on this link.

It is free!

 

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