Amazon Sample Submission Sheet

Company Name(Required)

Quote Number(Required)

Number of Unique Samples to be Tested(Required)

For each unique sample being tested, please complete only one section of the form.

Unique Unit Type 1

Unique Unit Type 1: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 1

Unit 1: Product Description(Required)

Describe product and its use or application.

Unit 1: Manufacturer(Required)

Unit 1: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 1: ASINs(Required)

Unit 1: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 1: Weight

Specify: lbs., kgs, or other

Unit 1: Additional Comments

Unique Unit Type 2

Unit 2: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 2

Unit 2: Product Description(Required)

Describe product and its use or application.

Unit 2: Manufacturer(Required)

Unit 2: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 2: ASINs(Required)

Unit 2: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 2: Weight

Specify: lbs., kgs, or other

Unit 2: Additional Comments

Unique Unit Type 3

Unit 3: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 3

Unit 3: Product Description(Required)

Describe product and its use or application.

Unit 3: Manufacturer(Required)

Unit 3: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 3: ASINs(Required)

Unit 3: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 3: Weight

Specify: lbs., kgs, or other

Unit 3: Additional Comments

Unique Unit Type 4

Unit 4: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 4

Unit 4: Product Description(Required)

Describe product and its use or application.

Unit 4: Manufacturer(Required)

Unit 4: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 4: ASINs(Required)

Unit 4: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 4: Weight

Specify: lbs., kgs, or other

Unit 4: Additional Comments

Unique Unit Type 5

Unit 5: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 5

Unit 5: Product Description(Required)

Describe product and its use or application.

Unit 5: Manufacturer(Required)

Unit 5: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 5: ASINs(Required)

Unit 5: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 5: Weight

Specify: lbs., kgs, or other

Unit 5: Additional Comments

Unique Unit Type 6

Unit 6: Product Name(Required)

Qty. of Samples for Unique Unit Type 6

Unit 6: Product Description(Required)

Describe product and its use or application.

Unit 6: Manufacturer(Required)

Unit 6: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 6: ASINs(Required)

Unit 6: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 6: Weight

Specify: lbs., kgs, or other

Unit 6: Additional Comments

Unique Unit Type 7

Unit 7: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 7

Unit 7: Product Description(Required)

Describe product and its use or application.

Unit 7: Manufacturer(Required)

Unit 7: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 7: ASINs(Required)

Unit 7: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 7: Weight

Specify: lbs., kgs, or other

Unit 7: Additional Comments

Unique Unit Type 8

Unit 8: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 8

Unit 8: Product Description(Required)

Describe product and its use or application.

Unit 8: Manufacturer(Required)

Unit 8: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 8: ASINs(Required)

Unit 8: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 8: Weight

Specify: lbs., kgs, or other

Unit 8: Additional Comments

Unique Unit Type 9

Unit 9: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 9

Unit 9: Product Description(Required)

Describe product and its use or application.

Unit 9: Manufacturer(Required)

Unit 9: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 9: ASINs(Required)

Unit 9: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 9: Weight

Specify: lbs., kgs, or other

Unit 9: Additional Comments

Unique Unit Type 10

Unit 10: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 10

Unit 10: Product Description(Required)

Describe product and its use or application.

Unit 10: Manufacturer(Required)

Unit 10: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 10: ASINs(Required)

Unit 10: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 10: Weight

Specify: lbs., kgs, or other

Unit 10: Additional Comments

Unique Unit Type 11

Unit 11: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 11

Unit 11: Product Description(Required)

Describe product and its use or application.

Unit 11: Manufacturer(Required)

Unit 11: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 11: ASINs(Required)

Unit 11: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 11: Weight

Specify: lbs., kgs, or other

Unit 11: Additional Comments

Unique Unit Type 12

Unit 12: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 12

Unit12: Product Description(Required)

Describe product and its use or application.

Unit 12: Manufacturer(Required)

Unit 12: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 12: ASINs(Required)

Unit 12: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 12: Weight

Specify: lbs., kgs, or other

Unit 12: Additional Comments

Unique Unit Type 13

Unit 13: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 13

Unit 13: Product Description(Required)

Describe product and its use or application.

Unit 13: Manufacturer(Required)

Unit 13: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 13: ASINs(Required)

Unit 13: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 13: Weight

Specify: lbs., kgs, or other

Unit 13: Additional Comments

Unique Unit Type 14

Unit 14: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 14

Unit 14: Product Description(Required)

Describe product and its use or application.

Unit 14: Manufacturer(Required)

Unit 14: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 14: ASINs(Required)

Unit 14: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 14: Weight

Specify: lbs., kgs, or other

Unit 14: Additional Comments

Unique Unit Type 15

Unit 15: Product Name(Required)

Qty. of Samples for Unique Unit Type 15

Unit 15: Product Description(Required)

Describe product and its use or application.

Unit 15: Manufacturer(Required)

Unit 15: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 15: ASINs(Required)

Unit 15: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 15: Weight

Specify: lbs., kgs, or other

Unit 15: Additional Comments

Unique Unit Type 16

Unit 16: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 16

Unit 16: Product Description(Required)

Describe product and its use or application.

Unit 16: Manufacturer(Required)

Unit 16: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 16: ASINs(Required)

Unit 16: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 16: Weight

Specify: lbs., kgs, or other

Unit 16: Additional Comments

Unique Unit Type 17

Unit 17: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 17

Unit 17: Product Description(Required)

Describe product and its use or application.

Unit 17: Manufacturer(Required)

Unit 17: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 17: ASINs(Required)

Unit 17: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 17: Weight

Specify: lbs., kgs, or other

Unit 17: Additional Comments

Unique Unit Type 18

Unit 18: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 18

Unit 18: Product Description(Required)

Describe product and its use or application.

Unit 18: Manufacturer(Required)

Unit 18: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 18: ASINs(Required)

Unit 18: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 18: Weight

Specify: lbs., kgs, or other

Unit 18: Additional Comments

Unique Unit Type 19

Unit 19: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 19

Unit 19: Product Description(Required)

Describe product and its use or application.

Unit 19: Manufacturer(Required)

Unit 19: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 19: ASINs(Required)

Unit 19: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 19: Weight

Specify: lbs., kgs, or other

Unit 19: Additional Comments

Unique Unit Type 20

Unit 20: Product Name(Required)

How the product will be identified

Qty. of Samples for Unique Unit Type 20

Unit 20: Product Description(Required)

Describe product and its use or application.

Unit 20: Manufacturer(Required)

Unit 20: Package Description(Required)

Ex: Corrugated Cardboard Container

Unit 20: ASINs(Required)

Unit 20: Dimensions(Required)

Length (in.)

Width (in.)

Height (in.)

Unit 20: Weight

Specify: lbs., kgs, or other

Unit 20: Additional Comments

Package Testing Types

Package Testing Capabilities

Cold Chain

Aging

Industries

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