Sample Request FormNeed Delivered By: *Please provide a specific date (please do not request ASAP). Normal lead time is 5 to 7 working days. **Any expedited freight charges must be paid by customer or sales representative. For expedited shipments, a FedEx or UPS account number needs to be provided in the comments section.End-user or Project *Reason samples neededManufacturer Rep Name *FirstLastAgency: *Email *Phone *______________________________________________________________________________________________________________Please check sample item(s) needed. If needing more than 1 roll per sample, please indicate number of rolls needed in the Special Requests box below.PC07LWBK 22 x 25 0.30 BlackPC07LWN 22x25 0.30 NaturalPC07XHBK 22x25 0.45 BlackPC07XHN 22x25 0.45 NaturalPC10LWBK 23x31 0.30 BlackPC10LWN 23x31 0.30 NaturalPC10XHBK 23x31 0.45 BlackPC10XHBU 23x31 0.45 BluePC10XHN 23x31 0.45 NaturalPC24LWBK 24x24 0.30 BlackPC24LWN 24x24 0.30 NaturalPC24XPBK 24x24 0.85 BlackPC32LWBK 24x32 0.30 BlackPC32LWN 24x32 0.30 NaturalPC32XHW 24x32 0.75 WhitePC32XPBK 24x32 0.85 BlackPCSJ100BK 28x45 0.9 BlackPCSJ100N 28x45 0.9 NaturalPC36100BK 30x36 0.90 BlackPC36100N 30x36 0.90 NaturalPC36150BK 30x36 1.35 BlackPC36HRBK 30x36 0.59 BlackPC36HRN 30x36 0.59 NaturalPC36LRBK 30x36 0.35 BlackPC36LRN 30x36 0.35 NaturalPC36LWBK 30x36 0.30 BlackPC36LWN 30x36 0.30 NaturalPC36MRBK 30x36 0.45 BlackPC36MRN 30x36 0.45 NaturalPC36XHBK 30x36 0.70 BlackPC36XHN 30x36 0.70 NaturalPC36XHW 30x36 0.70 WhitePC36XPBK 30x36 0.90 BlackPC36XTBK 30x36 1.15 BlackPC39100BK 33x39 0.90 BlackPC39100N 33x39 0.90 NaturalPC39150BK 33x39 1.35 BlackPC39150N 33x39 1.35 NaturalPC39200BK 33x39 1.75 BlackPC39200N 33x39 1.75 NaturalPC39HRBK 33x39 0.59 BlackPC39HRN 33x39 0.59 NaturalPC39MRBK 33x39 0.45 BlackPC39MRN 33x39 0.45 NaturalPC39XHBK 33x39 0.70 BlackPC39XHN 33x39 0.70 NaturalPC39XHW 33x39 0.70 WhitePC39XPBK 33x39 0.90 BlackPC39XPN 33x39 0.85 NaturalPC39XTBK 33x39 1.15 BlackPC39XTN 33x39 1.10 NaturalPC41100BK 32x41 0.9 BlackPC41100N 32x41 0.9 NaturalPC41135BK 32x41 1.20 BlackPC41135N 32x41 1.20 NaturalPC43100BK 30x43 0.90 BlackPC43100N 30x43 0.90 NaturalPC43HRBK 30x43 0.59 BlackPC43HRN 30x43 0.59 NaturalPC44100BK 36x47 0.90 BlackPC44100N 36x47 0.90 NaturalPC44300BK 36x56 3.00 BlackPC44HRBK 36x47 0.59 BlackPC44HRN 36x47 0.59 NaturalPC44MRBK 36x47 0.45 BlackPC44MRN 36x47 0.45 NaturalPC44XHBK 36x47 0.70 BlackPC44XHGN 36x47 0.70 GreenPC44XHN 36x47 0.70 NaturalPC44XPBK 36x47 0.90 BlackPC44XPN 36x47 0.85 NaturalPC44XTBK 36x47 1.15 BlackPC44XTN 36x47 1.10 NaturalPC46100BK 40x46 0.90 BlackPC46100N 40x46 0.90 NaturalPC46150BK 40x46 1.35 BlackPC46150N 40x46 1.35 NaturalPC46200BK 40x46 1.75 BlackPC46200N 40x46 1.75 NaturalPC46HRBK 40x46 0.59 BlackPC46HRN 40x46 0.59 NaturalPC46MRBK 40x46 0.45 BlackPC46MRN 40x46 0.45 NaturalPC46XHBK 40x46 0.70 BlackPC46XHBU 40x46 0.70 BluePC46XHN 40x46 0.70 NaturalPC46XHW 40x46 0.70 WhitePC46XPBK 40x46 0.90 BlackPC46XPN 40x46 0.85 NaturalPC46XTBK 40x46 1.15 BlackPC46XTN 40x46 1.10 NaturalPC47100BK 43x47 0.90 BlackPC47100N 43x47 0.90 NaturalPC47150BK 43x47 1.35 BlackPC47150N 43x47 1.35 NaturalPC47168BK 43x47 1.50 BlackPC47168N 43x47 1.50 NaturalPC47180GN 43x47 1.60 GreenPC47200BK 43x47 1.75 BlackPC47200N 43x47 1.75 NaturalPC47HRBK 43x47 0.59 BlackPC47HRN 43x47 0.59 NaturalPC47XHBK 43x47 0.70 BlackPC47XHN 43x47 0.70 NaturalPC47XPBK 43x47 0.90 BlackPC47XPN 43x47 0.85 NaturalPC47XTBK 43x47 1.15 BlackPC47XTN 43x47 1.10 NaturalPC55XHBK 41x52 0.70 BlackPC55XHN 41x52 0.70 NaturalPC55XPBK 41x52 0.90 BlackPC55XPN 41x52 0.85 NaturalPC55XTBK 41x52 1.15 BlackPC55XTN 41x52 1.10 NaturalPC58100BK 38x58 0.90 BlackPC58100N 38x58 0.90 NaturalPC58150BK 38x58 1.35 BlackPC58150N 38x58 1.35 NaturalPC58168BK 38x58 1.50 BlackPC58168N 38x58 1.50 NaturalPC58200BK 38x58 1.75 BlackPC58200N 38x58 1.75 NaturalPC58HRBK 38x58 0.59 BlackPC58HRN 38x58 0.59 NaturalPC58XHBK 38x58 0.70 BlackPC58XHN 38x58 0.70 NaturalPC58XHW 38x58 0.70 WhitePC58XPBK 38x58 0.90 BlackPC58XPN 38x58 0.85 NaturalPC58XTBK 38x58 1.15 BlackPC58XTN 38x58 1.10 NaturalPCBBXHN 45x50 2.00 NaturalPCSJHRBK 28x45 0.58 BlackPCSJHRN 28x45 0.58 NaturalPCSJXHBK 28x45 0.70 BlackPCSJXHBU 28x45 0.70 BluePCSJXHGN 28x45 0.70 GreenPCSJXHN 28x45 0.70 NaturalLiterature/Selling aids/CustomSpecial Requests: Please enter any literature/selling aids needed (with quantity) or custom requests. For each stock item checked above, we will send one sample roll unless otherwise noted below.______________________________________________________________________________________________________________Ship to: *NamePhone *Contact NumberCompany *Shipping Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeComments. For expedited shipments, please enter FedEx or UPS account number below.Questions? Email Customer Service at customerservice@revbag.com.Submit
