Information & Samples Please fill in the following Information: Name* Name Last Name Company*Email Address* Address Address 2 City State / Province / Region ZIP code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCroatiaCubaCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Select what you are interested in :* Information Samples Let us know your interest(Describe briefly your question in the box below) Bluedot Organics will send samples completely free of charge to the address provided above, for those companies and individuals who had completed entirely this application form entirely; and have all the necessary permits and licenses required under the laws of the country or jurisdiction, to import said samples. We will cover all costs associated with the shipping and documentation at the place of origin. All cost associated with the legalization y nationalization of these samples are bare by the requester. By clicking the SEND bottom, you represent to Bluedot Organics SAS, under the penalty of perjury, that your and/or your company are legally allowed to enter these samples into your country or jurisdiction. You are interested in receiving samples of :* Full spectrum cannabinoid extracts Acidic Cannabinoids (THCA/CBDA) Neutral Cannabinoids (THC/CBD) Terpenes Refined cannabis oils Isolated cannabinoids and terpenes Full spectrum cannabinoid extractsAverage amount of purchases in lbs. (Pounds) per month of Full spectrum cannabinoid extractsPrice per lbs. (Pound) in USD$ of Full spectrum cannabinoid extractsCurrent suppliers of Full spectrum cannabinoid extracts (at least one, or write NA if you are not purchasing the product currently).Acidic Cannabinoids (THCA/CBDA)Average amount of purchases in lbs. (Pounds) per month of Acidic Cannabinoids (THCA/CBDA)Price per lbs. (Pound) in USD$ of Acidic Cannabinoids (THCA/CBDA)Current suppliers of Acidic Cannabinoids (THCA/CBDA) (at least one, or write NA if you are not purchasing the product currently).Neutral Cannabinoids (THC/CBD)Average amount of purchases in lbs. (Pounds) per month of Neutral Cannabinoids (THC/CBD)Price per lbs. (Pound) in USD$ of Neutral Cannabinoids (THC/CBD)Current suppliers of Neutral Cannabinoids (THC/CBD) (at least one, or write NA if you are not purchasing the product currently).TerpenesAverage amount of purchases in lbs. (Pounds) per month of TerpenesPrice per lbs. (Pound) in USD$ of TerpenesCurrent suppliers of Terpenes (at least one, or write NA if you are not purchasing the product currently).Refined cannabis oilsAverage amount of purchases in lbs. (Pounds) per month of Refined cannabis oilsPrice per lbs. (Pound) in USD$ of Refined cannabis oilsCurrent suppliers of Refined cannabis oils (at least one, or write NA if you are not purchasing the product currently).Isolated cannabinoids and terpenesAverage amount of purchases in lbs. (Pounds) per month of Isolated cannabinoids and terpenesPrice per lbs. (Pound) in USD$ of Isolated cannabinoids and terpenesCurrent suppliers of Isolated cannabinoids and terpenes (at least one, or write NA if you are not purchasing the product currently).Licenses and PermitsAttaches PDF files of required licenses and permits in the Importing Country. Drop files here or Accepted file types: pdf.