Request Free Sample Bottles Form Sample Bottle Request Form Request Your Free Sample Bottles Company Information Company Name * Primary Contact's Name * Contact's Phone Number * Contact's Email Address * Company Shipping Information Street Address (NO PO BOXES) * City * State * Zip Code * Sample Bottle Request Please confirm you understand when returning sample bottles for analysis you cannot use the United States Postal Service * Yes, I understand and confirm I cannot use the United States Postal Service for returning sample bottles for analysis. ** Return mailing address is Oilfield Labs of America 3302 Pilot Ave. Midland, TX 79706. ** Select One: * Full Case (480 bottles or enough for 240 Complete Water Analysis) P/N 50-11221 1/2 Case (240 bottles or enough for 120 Complete Water Analysis) P/N 50-11221-6 Single Box (40 bottles or enough for 20 Complete Water Analysis) P/N 50-11221-1 Enter your account passcode: Entering your account passcode above will make the submit button appear. If you don't know your account passcode or you are a new customer please email our Business Relationship Manager, Tina Strambler, at [email protected] for assistance. Request ID# reCAPTCHA
