Material Submission Form

INSTRUCTIONS
Please complete this materials submission form.
IMPORTANT
Print a copy of this form BEFORE hitting "Submit" to include in your package when sending your material.
Date of Shipment
Date of Shipment
Please let us know which company you are using to ship your package (USPS, UPS, FedEx, etc.)
If you have already printed a label, or shipped your package, please include the tracking number.
Customer Information
Name *
Name
Address *
Address
For numbers outside US, include country code.
Please select how you would like to settle your lot
Material Information
Please select the type of material being submitted. If other, please describe below.
Net weight of material to be processed (less any packaging). Select unit of measure next.
IMPORTANT
Print a copy of this form BEFORE hitting "Submit" to include in your package when sending your material.