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To request a sample simply fill out the form below. We will contact you should we have any questions in regards to your request.

Hi-Lite Solutions Sample Policy: Samples are available upon request . Please indicate which product you are interested in sampling and provide us with your FedEx account or UPS account number for the shipping. A 1- quart sample of our Aero-Green Products is available at no charge. For larger samples please contact us directly to discuss the amount of sample required to perform your cleaning trial. Please note that our products samples for commercial request. We reserve the right to limit or reject sample requests for residential delivery.


First Name

Last Name

Company

Email

Mailing Address


City

State

Zip

Country

Phone

Fax

Industry




Sample Request Information (limit of 3 products)




Sample #1

To help us determine the quantity to provide,
what will this sample be used for?



Sample #2

To help us determine the quantity to provide,
what will this sample be used for?



Sample #3

To help us determine the quantity to provide,
what will this sample be used for?


Preferred Shipping Method:

FedEx/UPS Number: