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. The standard sample size for Hydrogen Peroxide is 1 gallon. Lead time, once the request has been approved, is approximately 10 business days plus transit time. We are unable to ship to a PO Box. A sample fee may be charged. Hydrogen Peroxide sample fees will be based on the concentration of the sample. 

Your Information

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Shipping Information

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Billing Information

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Additional Information

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