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LAB REQUEST
LAB REQUEST
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2020-02-14T07:49:36+00:00
LAB QUESTIONNAIRE
FOR LABS ONLY – PLEASE FILL OUT ONE FORM PER LAB
Submission Date
CONTACT INFORMATION
Email
*
Phone
Name
First
Last
Business Name
PURCHASE ORDER INFORMATION
Amount of Hemp needed
Price per pound willing to pay
Intake or purchase date
Date Format: MM slash DD slash YYYY
YOUR LAB PROCESSING FEES
What format do you process or extract too?
Crude
Distillate
T-Free
Isolate
Do you offer any split tolling?
Yes
No
What %
CAPACITY QUESTIONS
Total capacity (lbs per day)
Available capacity (lbs per day)
Comments
This field is for validation purposes and should be left unchanged.
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