REQUEST A SAMPLE
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REQUEST A SAMPLE

If you would like to request a flavor or fragrance sample, please complete the fields below. If you have questions or need assistance at anytime, please contact our Customer Service Department at 1.877.888.5949.

Denotes Required Field *

PERSONAL INFORMATION    
Name * Title *
Company *    
Address * Address 2
City* Country *
Zip/Postal Code* State*
Phone *
E-mail * Fax
Website    

 

SAMPLE REQUEST #1
Flavor or Fragrance * Flavor Fragrance
Flavor or Fragrance *

Please list the specific application in which the flavor or fragrance will be used as well as any processing methods and special ingredients that will be used.
Physical Form of Flavor or Fragrance (check all that apply):
Powder  
Solubility of Flavor or Fragrance (check all that apply):
Water Soluble Emulsion
Declaration (check all that apply):
Natural WONF
Natural
Artificial
Specify Other Requirements:

 

SAMPLE REQUEST #2
Flavor or Fragrance * Flavor Fragrance
Flavor or Fragrance *

Please list the specific application in which the flavor or fragrance will be used as well as any processing methods and special ingredients that will be used.
Physical Form of Flavor or Fragrance (check all that apply):
Powder  
Solubility of Flavor or Fragrance (check all that apply):
Water Soluble Emulsion
Declaration (check all that apply):
Natural WONF
Natural
Artificial
Specify Other Requirements:

 

SAMPLE REQUEST #3
Flavor or Fragrance * Flavor Fragrance
Flavor or Fragrance *

Please list the specific application in which the flavor or fragrance will be used as well as any processing methods and special ingredients that will be used.
Physical Form of Flavor or Fragrance (check all that apply):
Powder  
Solubility of Flavor or Fragrance (check all that apply):
Water Soluble Emulsion
Declaration (check all that apply):
Natural WONF
Natural
Artificial
Specify Other Requirements:
ADDITIONAL INFORMATION
If you are not currently working with Carmi Flavor & Fragrance Co., Inc., we ask that you please complete the following questionnaire. This will allow us to better serve your needs. In what industry would you classify your company? (Check all that apply.)
Bakery: Bread, Cakes, Cookies, Doughnuts, Pasta
Beverage: Dry mixes, RTD
Breakfast Foods: Cereal, Jams, Syrups, Toaster Pastries
Confection: Chocolate, Gum, Sugar
Dairy: Ice Cream, Milk-Based Beverages, Yogurt
Dessert: Boxed Mixes, Frozen
Industrial: Brokerage, Ingredient Suppliers
Main Meal: Condiments, Meat Items, Sauces, Seasonings, Soups
Nutraceutical: Bars, Beverages
Pharmaceutical: OTC
Snack Foods: Crackers, Popcorn, Potato Chips
Other:
How often do you work with flavors?
How often do you work with fragrances?
What applications do you typically work with?
Human Verification *