Request Tubing Sample

Please fill out the form below to request a product sample. Our medical tubing samples are typically provided in 12" lengths. Samples ship complimentary FedEx/UPS; please provide account number for overnight delivery. FedEx and UPS do not deliver to PO boxes.

"*" indicates required fields

Contact Name*

First Last

Contact Email Address*

Phone Number*

Company Name*

FedEx or UPS Account #

Shipping Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

OD Dimension or Wall Thickness*

(Specify whether this is a diameter or wall thickness in the next dropdown field.)

Dimension Type*

(Be sure to enter the OD or Wall Thickness in the previous field.)

ID Dimension*

Length*

PTFE Composite Layer or Pure PTFE Liner*

Braid/Coil Reinforced*

PIC/WPI count, if known

Attachment

Accepted file types: pdf, jpg, tif, tcw, Max. file size: 500 MB.

(Please limit the attachment to 500KB PDF, JPG, TIF or TCW.)

Comments

Brochure

Include a MicroLumen brochure with the sample.

CAPTCHA

Polyimide

Reinforced

PTFE / Composite

Laser Machined

Custom