| Requested By |
Click to select the person who has requested the sample. |
| Actual Date |
Click to select the actual date for the sample request. |
| Requested By Date |
Click to select the date for which sample is requested. |
| Supplier |
Click to select the supplier for the sample request. |
| Factory |
Click to select the factory for the sample request. |
| Finished Goods PO/A |
Select finished goods production office or agent for the sample request. |
| Shipment Tracking # |
Specify the shipment tracking number for the sample request. |
| Testing Required? |
Select the Yes or No whether testing is required for the requested sample. |