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Samples Request

Dulis provides its customers with a selection of samples from the products featured in our catalogue. Among the references of its general catalogue.
If you wish to try a disposable product, please fill in the form below stating the desired product's catalogue number and your contact information.
If no sample was available for the specified catalogue number, our hotline will inform you.

Fields marked with an asterisk * are required

Catalogue number  * 
Surname  * 
First Name  * 
Company  * 
E-mail address  * 
Phone  * 
Laboratory or address  * 
Address addition
Postal code (ZIP code) + City

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