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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
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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
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)
Email
This field is for validation purposes and should be left unchanged.
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