All samples are subject to a technical fee, creditable toward purchase quantity with USPA (4+ drums): 1 Quart – $100; 1 Gallon – $200; 5 Gallons – $400

Sample Request Form

Requester Contact Information
Distributor
Recipient Contact Information
Recipient Company Information Please provide a building address. Samples cannot be sent to a P.O. box.
Sample Information
Please describe in detail the intended application or use for the requested sample(s).
(50 character minimum)
Sample Requests (up to 4)
Sample Request Quantity Samples larger than 1 gallon require payment info, please contact USPA sales.
If the resin sample you've requested is approved, approximately how much product do you anticipate using per year?
Special Instructions
How did you hear about USPA?
Disclaimer

Thank you for your interest in our first-rate resin product(s). To certify US Polymers-Accurez (USPA) can sustain the high-quality and standards of our technical goods/services, we are obligated to introduce a new sample fee structure effective forthwith. Such a sample fee will be incurred only in cases where the resin sample selection process was devoid of USPA technical personnel’s (e.g. samples selected independently) input/involvement. The fee details are as follows:

  • $100 USD per 1-quart sample(s)
  • $200 USD per 1-gallon sample(s)
  • $400 USD per 5-gallon sample(s)

This change helps us manage resources more effectively as well as maintaining our continued dedication to your success. Important to note that USPA does offer a rebate program wherein the sample fee can be applied as a credit towards a future purchase order of any commercial quantity (4 drums+). We thank you for the opportunity and interest.