New Customer Profile

Company Name *

Brand Name *

Primary Countries of Business *

Export Certificates Required? *

Yes

If yes, please let us know which ones in the field below.

Export Certificates Required

Please fill out if you selected "Yes"

Where do you plan to sell your products? *

This gives us guidelines on which ingredients can be used in your formulas as well as other requirements for selling in this country.

Primary Contact Person *

Primary Contact Email *

Phone

Mobile *

Complete Mailing Address *

This will be used to send your samples to. Please make sure to include city, state and zip code.

Colleagues that AMR may release information to

AMR contact (if you have spoken to someone at AMR already)

Additional Comments

Captcha

If you are unable to submit the form, please try a different internet browser.

If you are human, leave this field blank.

Please provide as much detail in your New Customer Profile.

To begin the formulation process, you must:

Completely fill out the New Customer Profile
Fill out the New Product Profile – please fill out one product profile per product.
Send in R&D payment
Send in sample of benchmark

Email support@amrlabs.com if you have any questions.