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 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 :* Product 1 Product 2 Product 3 Average amount of purchases in lbs. (Pounds) per month of Product 1Current suppliers of Product 1 (at least one, or write NA if you are not purchasing the product currently).Average amount of purchases in lbs. (Pounds) per month of Product 2Current suppliers of Product 2 (at least one, or write NA if you are not purchasing the product currently).Average amount of purchases in lbs. (Pounds) per month of Product 3Current suppliers of Product 3 (at least one, or write NA if you are not purchasing the product currently).Attaches PDF files of required licenses and permits in the Importing Country. Drop files here or Accepted file types: pdf.