Bench Sample Prototype Bar Order Form

Please fill out a separate form for each box/recipe that you are ordering. Please note that each box will contain 8-10 bench sample bars and will be made within 5-10 business days of receiving this form.

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* Client Info

Name *

Account Name (Company or Brand)

Mailing Address for Prototype Bars *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email address for any questions from our shipping department *

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* What is the RECIPE ID number of the bar you would like to order prototypes of? You can find this on the bottom left of the nutrition fact panel. It is absolutely vital that you fill this in correctly.

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* What is the working name of this bar flavor?

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* Do you need to pay for this test? If so, please do so by cut-and-pasting the appropriate below link into your browser.

No, I've already paid and/or this is part of my R&D package.

Yes, I need to pay for a bench sample. If so, please pay here

Yes, I need to pay for a large scale efficiency test. If so, please pay here