Request Samples

Container Sample Request

Name*
First Last
Company Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone (w/Area Code)*
Email*
How did you find out about us?*
Preferred Contact Method*
- Phone Call
- Email
How would you like to be contacted in the event we need further information to process your request?
Catalog Requested?*
Which Product Line? Please check only the container lines you are interested in using to package your products.
- Lacons®
- Lavials®
- Microvials®
- Polyvials™
- Flex-A-Top™
- LABoxx™
- Nucons™
- Statcons®
- Discons®
- Lapods®
- Squeezetops®
- Shellcons™
Part Numbers Requested:*
In order to provide you with the proper container samples, please provide us with the specific part number you would like a sample of. If unknown, please describe the item you are trying to package or your packaging requirements and a member of our sales team will happily assist you
Additional Information:*
Let us know if you have any other comments, questions or concerns regarding your sample request or our containers. Privacy Statement: Please note L&A Packaging respects your privacy and is committed to protect the information that you share with us, as a result we will not share or sell any of the information provided within this catalog request form or any other form you may fill out while visiting our website.
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