Sphere Services, Inc.

"Strengthening the world's products
with a high performance filler material"

Pre-Qualification Form for
Sample/Evaluation Quantities of Cenospheres

Instructions:
We make Sample/Evaluation quantities of Cenospheres available to companies that have reasonable expectations of purchasing production quantities from Sphere Services, Inc. in the future. After completing this form, you will be returned to our order form to complete the order process.

Company Name:
Address:

City:
State:
Zip:
Phone:
Fax:
E-Mail:
Contact Name:
Contact Title:
Purchasing Agent Name:
Years in Business:
Industry:
Planned Application:
Estimated Annual Volume:
Estimated Eval. Completion Date:
Estimated Purchase Date:
Shipping Locations:

Preferred Packaging for Future Production Orders:
1700 Lb. Supersacks
2000 Pallets of 50 Lb. bags
Truckload Quantities
Rail Car
Bulk Pneumatic
Is a silo accessible for Rail Car or Bulk Pneumatic delivery?
Yes No

Comments/Questions

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