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Page 1: Fill out information about the product and hit the "Proceed to preview" button
Page 2: Submit shipping information

Request details
• Subject of your request *
 
Supplier * Ciba
Product *   Display list
Quantity requested *
Recurring purchase planned * Yes No
 

Application in which the sample is used
Main Polymer *
Market / Application *
Conversion mode *
Total volume of polymer used for this application *  tons
 
• Primary reason for your sample request *
Please specify the purpose of your request for sample (new development, product replacement, sourcing, etc).
 

Comments
• Delivery details *
Is there anything about your application the expert should know in order to best help you?
 
Preview
All sample requests are subject to verification and acceptance by Ciba. Ciba Terms and Conditions govern your rights and obligations, as well as the rights and obligations of Ciba and its affiliates ("Ciba") relating to any transactions or services. Nothing in this document or on this website affects those Terms and Conditions.

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