Ethylene oxide/Propylene oxide block copolymers

Company Information

Your Name

Company Name

Company Address

Telephone Number

Email Address

Product Information

Name of Product

Dry or Liquid

Dry

Liquid

Bag

Supersack

Bulk Truck

Bulk Rail

Pail

Drum

Totes

Bulk Truck

Bulk Rail

Quantity Required

Order Amount

Unit of Measure (LBS or KGS)

LBS

KGS, Ton, or Metric Ton

Order Frequency (monthly, Quarterly, Semi-Annual, Annual)

Grade

Tech

FCC

USP

Industrial

Other

Delivery Date Requested

Current Supplier (Manufacturer)

Target Price