head
1601 E. Linden Avenue, Linden NJ 07036-1508 USA
Tel: 908.862.8810 800.875.9393
Fax: 908.862.8825
www.ifc-solutions.com

SAMPLE REQUEST FORM
NATURAL & ORGANIC INGREDIENTS

*
*
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Ship to address






1. Application:
Please describe the intended use of the sample(s) you are requesting.


2. Type of Ingredient(s) Required
Natural Colors*
Food / Nutraceutical application
Cosmetic/ Personal Care application

Certified Organic Colors*
Food / Nutraceutical application
Cosmetic / Personal Care application

Organic Compliant Colors*
Food / Nutraceutical application
Cosmetic / Personal Care application

Lecithin
Non-GMO
Certified Organic 1
Allergen-Free
Liquid
Powder

Glycerin
Natural
Certified Organic 2
Soybean Oil
Canola Oil

Other:

Vegetable Powders
Natural
Certified Organic 3

Please specify (e.g. Spinach, Barley Grass Juice, etc.)

Other
Natural 2
Certified Organic

Please specify


*Note: For Food and Cosmetic Colors, it would probably be best to use the IFC Sample Request Forms dedicated for these products

 
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