Sample or Demo Request

Thank you for your interest in SCS products. No-charge samples of our products are available for testing/review purposes for qualified applications. To determine if your application qualifies, please complete and submit the form below.

*Please enter the following information for each item(s) you are interested in:
Part No. and/or Description [ ]
Sample Quantity [ ]
Potential Order Quantity [ ]
When will you be ordering this item? [ ]

Additional Information and/or Sample Reason:

Please enter the shipping address you would like sample(s) sent:

*E-mail Address:
Address 2:
*Zip/Postal Code:
*Phone Number:
*Are you a Distributor?

* Will these items be resold?

*Required fields.

All samples are processed at Desco Industries, Inc. (DII) discretion.

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