Binder-USA has a sample policy for its OEM customers. We will provide you with a max of two samples for up to three part numbers for ongoing design-in projects. Non-OEM customers please order your parts through our sales department. We appreciate your under standing.

If you are a OEM customer and would like to receive samples in accordance with our sample policy, please complete the entire form.

Company Information

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Our sample policy is to provide a max. of two samples for up to three part numbers. Please provide us with your shipping account number (UPS, FedEx, etc.)   Shipper Account Number

Sample Requests

Please fill in the requested part numbers and the est. annual quantity. Part Qty Est. annual usage

Project Information

Brief description of your application:   When do you expect to go into production:? 2-6 months 6-12 months don't know yet

Click SUBMIT REQUEST to email this request to Binder-USA.

If you like to contact us by telephone, please call 805.437.9925