Sample Request Form

Sample Request Form

Thank you for your interest in receiving a custom sample request from Lifting Labels, where we are changing lives with each stitch! Please complete this form in its entirety and a representative will be in touch with you.
Full Name*

First NameLast Name
Best Email*
example@example.com
Best Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Name of Company/Organization/Group
Shipping Address. If available for local meeting/pick-up, please skip this step.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Sample Order
Tell us about your business and product.*
What would you like to request a sample of?*
No, starting completely from scratch.I only have a previous sample.Yes, I have a pattern. No I do not have a tech pack.Yes, I have a tech pack. No, I do not have a pattern.
Please list all size requirements:*
Please list any fabric/material requirements:*
Quantity*
References: Please include any additional links or images to help us best understand your sample request.
References: Please include any additional links or images to help us best understand your sample request.

Cancelof
ASAP. This is a rush request. (If quicker than three weeks (15 business days), Rush fees will be applied)No urgency. (Your request will be completed in the order that it was received.)I have a specific deadline I would like to receive by.
When is your deadline to receive your sample by, if any:

MonthDayYear
Date
Additional Notes:
Yes, I have.
Thank you! A representative will contact you to discuss the project and determine a price and timeline estimate.
Should be Empty:

Sample Request Form

Your Sample Order