Sample Requests

Please fill out the following form to request product information or a product sample from PeroxyChem. Upon completion, you will receive an email confirmation and we will contact you to confirm the details of your request.

Please note: Our standard sample size for all products (excluding Hydrogen Peroxide) is 1 lb.  For Hydrogen Peroxide samples the standard size is 1 gallon.  Lead time is approximately 10 business days plus transit time. We are unable to ship to a PO Box.  As sample fee will be charged for all samples.  Hydrogen Peroxide sample fees will be based on the concentration of the sample.


Your Information

Company Information

Shipping Information

Same as Company Information

Additional Notes