Sample Request Form

PLEASE USE THIS FORM TO SPECIFY WHICH PRODUCTS YOU'D LIKE TO SAMPLE, FILL OUT AS MUCH OR AS LITTLE AS YOU NEED TO. (Some samples may be subject to a fee &/or Shipping rates).

SAMPLE REQUEST

PLEASE CHECK THE PRODUCT(S) YOU WOULD LIKE TO SAMPLE

ITAT GRAND BAR NEEDLES

ITAT DELUXE BAR NEEDLES

KNIGHT CARTRIDGE NEEDLES

BEZTAT DISPOSABLE GRIP TUBES.

DISPOSABLE INK CUPS

SENTITIVE BANDAGE WRAPS

DISPOSABLE GRIPS

SAMPLE REQUEST(S) CONT.

SPECIFY ANY OTHER PRODUCTS / SPECIFIC SIZES / AND OR STYLE YOU ARE INTERESTED IN HERE.

YOUR NAME

First Name

Last Name

NAME OF YOUR BUSINESS

PLEASE INCLUDE IF YOU'RE PLANNING TO PLACE ORDERS FOR A TATTOO OR SUPPLY SHOP.

Phone

(###)

###

####

Email Address

Website

http://

SHIPPING ADDRESS

WHERE SHOULD I SEND YOUR SAMPLES?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country