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Sample Request

Sample Request

First Name:
Last Name:
Position:
Company:
Mailing Address:
Shipping Address:
City:
State:
Zip Code:
Phone:
Fax:
Your email:
I learned about Gum Technology via:

(Select all that apply)

Referral
Sales Representative
Press Coverage
Ads
Presentation/ Sales Call
Trade Show
Web Search
Newsletter
I'm a Current Customer
Presentation/ Sales Call
Sales Representative Name (if known):
Other:
Date sample needed by:
Sample will be shipped via ground service. If you need second day or next day service, please provide your UPS or FedEx #:
Time zone differences and pick up times vary so please call 1.800.369.4867 to ensure that your rush sample request is possible.
Please complete as much of the following information as you can so that we may be able to suggest an appropriate sample. You do not have to fill everything in.
Product Name
(If known)
What functionality is desired in your product?
(thickening, suspension, emulsification, etc.)
What problem (if any) are you currently having?
What is your final product/application? (sauce, bread, tortilla, etc):
Final food form:
(e.g. frozen, retort, aseptic, refrigerated, dryshelf, etc.)


High Acid (pH < 4.5)
Low Acid (pH > 4.5)
Are any of the following available for mixing with gums? Oil
Sugar
Salt
Propylene Glycol
Alcohol
Any special requirements? Natural
Organic (NOP Compliant)
Kosher
Gluten Free
Whole Foods Compliant
Non GMO
Other:
Is the product heated? Yes No
Processing Temp (degrees F)?:
Machinery available for gum incorporation (e.g. Lightnin' type blender, Bredo Likwifier type blender, aspirator, swept surface kettle, etc.)
Comments and Questions:

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gum sample picturePlease note: If you are looking to match an existing product, we’ll need the specifications of the product that you are trying to match (for example, label declaration, viscosity and test method, mesh size, etc).

Standard sample size is 4 oz. Please note that samples are for experimental use only and samples are sent only to qualified industry professionals.