Request A Product Sample

We are pleased to make samples of many of Velocity Chemicals products available to prospective customers.

You may call or simply complete the form below indicating shipping information and the products you wish to sample.

In order to determine the most effective products for your needs, please describe your application using this short form. If you’re not finding the products you need, contact us.

What item do you wish to clean & what is the surface material?:

How do you currently clean this item?:

What chemicals or products do you currently use and in what amounts?:

Why are you looking to change? Please check all that apply:

Service

Performance

Cost

Environmental Impact

Other? (Please explain)

Products you wish to sample:

Requester Name:(required)

Requester Job Title:

Requester Company Name:

Requester Company Website:

Industry:

Select One Vehicle Wash Transportation Mining and Oilsands Industrial Cleaning Food Processing Forestry and Wood Water & Oil Treatment Other

Ship to Address Line 1:

Ship to Address Line 2:

City:

State/Provinces for US and Canada:

Zip/Postal Code:

Ship to Country:

Phone:

Fax:

Email address:(required)

Type the characters(required)

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Data Privacy and Protection

All information provided above is kept strictly confidential and is not utilized other than purposes requested. It is never disclosed outside of the Velocity Chemicals organization. We will contact you only if we need additional information to appropriately answer your question or in order to address your need.

Sample Policy

In our continuing effort to practice responsible product stewardship in how we manage our products and requests for product samples, we reserve the right to limit samples to qualified prospective customers or end-users. We also reserve the right to limit or decline any request for a product sample for any reason.