Autec Product Samples

Sample Request Form

REQUESTER INFO

CUSTOMER INFO

SAMPLE 1 INFORMATION

SAMPLE 2 INFORMATION

DELIVERY SHIPMENT INFO

Upon approval of the Sample Request by Autec, Autec will provide up to three free of cost samples for your requested opportunity per client. A shipping account and shipping instruction is to be provided by the customer or the distributor for each sample inquiry, without it sample(s) requests cannot be processed.

Thank you! Your sample request has been received! Please look for an automated confirmation email which includes all of the information that was sent to us.
You will also receive an order confirmation directly from Autec customer service within 48 hours. If you do not receive one, please contact John: 818-338-7710
Oops! Something went wrong while submitting your sample request. Please review the form and resubmit.